Individual
DANIEL GROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7311
Mailing address
4098 BABBITT ST, CHARLESTON, SC 29414-6077
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000000000
SC
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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