KEVIN LEE ROSS

SPARTA, IL
NPI1417796020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-05-22
Last Update Date2024-05-22
Business Address
KEVIN LEE ROSS CRC
104 NORTHTOWN RD
SPARTA, IL 62286-1081
Phone number: 618-443-3084
Mailing Address
KEVIN LEE ROSS CRC
705 S GRACE ST
MARISSA, IL 62257-1923
Phone number: 618-521-4435
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