Individual
MS. JANE LEE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCS
Contact information
Practice address
569 RIVER RD, HAMDEN, CT 06518-1134
(203) 288-0615
Mailing address
569 RIVER RD, HAMDEN, CT 06518-1134
(203) 288-0615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002110
CT
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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