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Organization

DEBRA B GROSS LCSW P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA B GROSS LCSW (PRESIDENT)
(954) 258-5216
Entity
Organization

Contact information

Practice address
8333 W MCNAB RD, SUITE 131, TAMARAC, FL 33321-3242
(954) 258-5216
(954) 345-4047
Mailing address
12354 NW 26TH CT, CORAL SPRINGS, FL 33065-8005
(954) 258-5216
(954) 345-4047

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/27/2010
Last updated
01/27/2010
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