Ross, Desiree Kenyetta

Ross, Desiree Kenyetta is an individual health care provider with primary practice located at 89 Sagewood Dr , Malvern PA 19355-2234. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ross, Desiree Kenyetta can be contacted via phone (718) 757-0643.

Contact Information

Primary practice address
89 Sagewood Dr Malvern PA 19355-2234
Phone: (718) 757-0643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW016207 Pennsylvania

Profile Details

NPI number 1457421737
LBN Legal business name Ross, Desiree Kenyetta
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Sep 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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