Individual
ELLIOT W. GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 S 146TH ST, BURIEN, WA 98168-3669
(206) 241-0990
Mailing address
1010 S 146TH ST, BURIEN, WA 98168-3669
(206) 241-0990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00005421
WA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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