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Individual

MRS. CAITLIN BETH GROSSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
167 DWIGHT RD, SUITE 102A, LONGMEADOW, MA 01106-1674
(413) 210-1893
(508) 437-0239
Mailing address
19 FOREST HILL RD, HAMPDEN, MA 01036-9712
(413) 210-1893

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5787
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235201484
MA
Enumeration date
11/14/2006
Last updated
06/24/2010
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