NPI 1063009108

Miranda Ross, QMHSCMS

Practitioner Community Health Worker Canton, OH

Practice location

Address: 401 Tuscarawas St W STE 501, Canton, OH 44702-2045
Phone: (440) 260-8300
Mailing address: 434 Eastland Rd, Berea, OH 44017-1217

Registered specialties (3)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence S.2302864-TRNE (OH)

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1063009108
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Dec 2020
Record last updated: 23 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.