Individual
BENJAMIN P GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
118 CENTRAL ST, WALTHAM, MA 02453-5465
(781) 891-0556
(781) 647-1432
Mailing address
118 CENTRAL ST, WALTHAM, MA 02453-5465
(781) 891-0556
(781) 647-1432
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
09/08/2016
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