Individual
CARLY GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 LACRUE AVE, GLEN MILLS, PA 19342-1062
(800) 578-7906
(800) 878-5497
Mailing address
3624 N LEAVITT ST, APT. 2, CHICAGO, IL 60618-4822
(800) 578-7906
(800) 878-5497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008973
IL
Other
Enumeration date
06/21/2007
Last updated
05/06/2008
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