Individual
MS. ELIZABETH SUSAN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LSW
Contact information
Practice address
112 N BROAD ST, PHILA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Mailing address
1919 CHESTNUT ST, UNIT 1506, PHILA, PA 19103-3401
(215) 569-4276
(215) 568-0769
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW123770
PA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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