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Individual
STEFANIE ANN GROSS
Active
Individual
STEFANIE ANN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
079681
NY
1041C0700X
Clinical Social Worker
082622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID #
NY
01
—
1285628552
AGENCY NPI
NY
01
—
WVE061
AGENCY MEDICARE #
NY
Enumeration date
09/10/2007
Last updated
10/07/2016
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