Individual
MATTHEW RYAN GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10057 ELKHORN CRK, ASHCAMP, KY 41512-8702
(606) 754-7077
Mailing address
10057 ELKHORN CRK, ASHCAMP, KY 41512-8702
(606) 754-7077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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