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1568445286
FREDERICK WALTER GROSS
CHICAGO, IL
NPI
1568445286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149002883)
Enumeration Date
2005-11-28
Last Update Date
2007-07-08
Business Address
-- FREDERICK WALTER GROSS MSW
10540 S WESTERN AVE SUITE 311
CHICAGO, IL 60643-2536
Phone number: 773-239-0404
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Mailing Address
-- FREDERICK WALTER GROSS MSW
9251 S OAKLEY AVE
CHICAGO, IL 60620-6218
Phone number: 773-239-1221
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