Individual
CASSANDRA NICOLE GROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2290 W COUNTY LINE RD STE 105, JACKSON, NJ 08527-2267
(732) 675-3451
Mailing address
1600 12TH AVE, TOMS RIVER, NJ 08757-2031
(732) 597-3440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06124600
NJ
106H00000X
Marriage & Family Therapist
37FI00177800
NJ
Other
Enumeration date
09/26/2022
Last updated
11/01/2022
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