Individual
NORA JEANNE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 HOSPITAL DR, BRIDGTON, ME 04009-1167
(207) 524-3501
(207) 647-4000
Mailing address
180 CHURCH HILL RD, STE 1, LEEDS, ME 04263-3418
(207) 524-3501
(207) 524-2093
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14510
ME
1041C0700X
Clinical Social Worker
MC13174
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861773749
—
ME
Enumeration date
09/06/2011
Last updated
03/02/2022
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