Individual
MS. DEBRA ELLEN GROLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
275 BELMONT ST, WORCESTER, MA 01604-1675
(508) 421-4527
Mailing address
275 BELMONT ST, WORCESTER, MA 01604-1675
(508) 421-4527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1029460
MA
1041C0700X
Clinical Social Worker
13347
MD
Other
Enumeration date
08/13/2006
Last updated
09/18/2007
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