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1144381161
ELLEN J GROSS
RANDOLPH, NJ
NPI
1144381161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC00132000)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
-- ELLEN J GROSS LCSW
35 MOREY LN
RANDOLPH, NJ 07869-4628
Phone number: 973-895-6027
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Mailing Address
-- ELLEN J GROSS LCSW
35 MOREY LN
RANDOLPH, NJ 07869-4628
Phone number: 973-895-6027
Copy
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