Individual
DEBRA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
94 S MAIN ST, MIDDLEBORO, MA 02346-2123
(508) 947-6100
Mailing address
25 ANNE DR, TAUNTON, MA 02780-2255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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