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1164419313
ADDAM LEE GROSS
PHOENIX, AZ
NPI
1164419313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC10121)
Enumeration Date
2005-10-03
Last Update Date
2007-07-09
Business Address
Mr. ADDAM LEE GROSS MC, LPC
202 E MCDOWELL RD
PHOENIX, AZ 85004-4533
Phone number: 602-486-6581
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Mailing Address
Mr. ADDAM LEE GROSS MC, LPC
6511 N 14TH PL
PHOENIX, AZ 85014-1467
Phone number: 602-486-6581
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