Individual
KAREN SPENCER GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1616 W CHURCH ST STE A, NEWARK, OH 43055-1540
(740) 405-2488
Mailing address
864 DIETRICH ST, NEWARK, OH 43055-2767
(740) 344-3479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I.0008738-SUPV
OH
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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