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Individual

KATRINA GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
158 DOROTHY LN, LAWRENCEVILLE, GA 30046-4444
(404) 834-4177
Mailing address
158 DOROTHY LN, LAWRENCEVILLE, GA 30046-4444
(404) 834-4177

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW012415
GA

Other

Enumeration date
07/01/2025
Last updated
07/01/2025
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