Individual
GINA ANN POLESE-GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 ROUTE 88, BRICK, NJ 08724-2320
(732) 458-1700
Mailing address
123 BRISCOE DR, TOMS RIVER, NJ 08753-3140
(732) 458-1700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00199100
NJ
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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