Individual
EMMA ROSE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LSW
Contact information
Practice address
1525 E 53RD ST STE 623, CHICAGO, IL 60615-4530
(872) 204-6668
Mailing address
1425 N CALIFORNIA AVE APT 2, CHICAGO, IL 60622-2345
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.114202
IL
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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