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Individual
DR. JUDITH E. GROSSMAN
Active
Individual
DR. JUDITH E. GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
001357-1
NY
172V00000X
Community Health Worker
001357-1
NY
172V00000X
Community Health Worker
002216
CT
225X00000X
Occupational Therapist
Primary
001357-1
NY
Other
Enumeration date
12/18/2011
Last updated
01/10/2012
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