Individual
LISA GROTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 EMILS WAY, MARION, MA 02738-1208
(508) 728-4859
Mailing address
7 EMILS WAY, MARION, MA 02738-1208
(508) 728-4859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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