Individual
CARRIE BETH GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 N 32ND ST, PHOENIX, AZ 85008-6205
(602) 320-8120
Mailing address
1942 W PORTOBELLO AVE, MESA, AZ 85202-8046
(602) 320-8120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-20632
AZ
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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