Individual
MIRIAM GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
383 KINGSTON AVE, #55, BROOKLYN, NY 11213-4333
(323) 551-8579
Mailing address
383 KINGSTON AVE, #55, BROOKLYN, NY 11213-4333
(323) 551-8579
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001173-1
NY
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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