Individual
JENNIFER GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
192 CARLTON RD, WABAN, MA 02468-1836
(617) 549-9528
Mailing address
192 CARLTON RD, WABAN, MA 02468-1836
(617) 549-9528
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
8659-PY-PR
MA
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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