Individual
BRIAN GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
14 AMBASSADOR DR, VICTOR, NY 14564-1204
(585) 267-9782
Mailing address
14 AMBASSADOR DR, VICTOR, NY 14564-1204
(585) 267-9782
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094715
NY
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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