Individual
JILL KAREN GROSSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSS, LSW
Contact information
Practice address
112 N BROAD ST, RM 821, PHILA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Mailing address
10101 NORTHEAST AVE, APT 12, PHILADELPHIA, PA 19116-3746
(215) 552-9569
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW011251L
PA
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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