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Individual

VIRGINIA GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA LPC/I

Contact information

Practice address
17 TOY ST, GREENVILLE, SC 29601-3122
(864) 241-4448
(864) 241-9001
Mailing address
17 TOY ST, GREENVILLE, SC 29601-3122

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5437
SC

Other

Enumeration date
02/09/2012
Last updated
02/09/2012
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