Individual
VICKI L GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2809 SILVER PALM DR, EDGEWATER, FL 32141-5501
(386) 427-9081
Mailing address
2809 SILVER PALM DR, EDGEWATER, FL 32141-5501
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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