Individual
JUSTINE ALEXANDRA GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
918 BROAD ST, DURHAM, NC 27705
(609) 213-8939
Mailing address
2115 SPRUNT AVE, DURHAM, NC 27705-3253
(609) 213-8939
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5347
NC
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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