Individual
DARRYL GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301
(508) 414-6432
Mailing address
31 OAK RIDGE LN, BRIDGEWATER, MA 02324-2337
(508) 414-6432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115561
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115561
SOCIAL WORK LICENSE
MA
Enumeration date
07/06/2007
Last updated
05/13/2020
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