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Individual

MRS. JACQUELINE C GROSVENOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OSC

Contact information

Practice address
68 PARKVIEW RD, ELMSFORD, NY 10523-3809
(914) 548-8607
(914) 548-8607
Mailing address
68 PARKVIEW RD, ELMSFORD, NY 10523-3809
(914) 548-8607
(914) 548-8607

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/06/2012
Last updated
06/06/2012
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