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1265025084
MICHAEL PAUL ROSS
BLOOMINGTON, IN
NPI
1265025084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34007976A)
Enumeration Date
2021-02-12
Last Update Date
2021-02-12
Business Address
MICHAEL PAUL ROSS
101 W HOOSIER ST
BLOOMINGTON, IN 47403-4403
Phone number: 812-558-1325
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Mailing Address
MICHAEL PAUL ROSS
101 W HOOSIER ST
BLOOMINGTON, IN 47403-4403
Phone number: 812-558-1325
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