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Individual
MRS. NATALIE R GROSS
Active
Individual
MRS. NATALIE R GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
075194
NY
1041C0700X
Clinical Social Worker
Primary
087925-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087925-1
REGISTRATION CERTIFICATE
NY
Enumeration date
07/05/2010
Last updated
11/22/2022
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