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Individual
MEG GROSSMAN
Active
Individual
MEG GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0005215
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005215
SOCIAL WORKER LICENSE
OH
Enumeration date
11/17/2006
Last updated
11/09/2010
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