Individual
ELLEN J GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 MOREY LN, RANDOLPH, NJ 07869-4628
(973) 895-6027
Mailing address
35 MOREY LN, RANDOLPH, NJ 07869-4628
(973) 895-6027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00132000
NJ
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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