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1780901660
TABITHA GRONOCK
BROOKLYN, NY
NPI
1780901660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 73079710)
Enumeration Date
2010-04-30
Last Update Date
2014-01-27
Business Address
-- TABITHA GRONOCK LMSW
2214 STILLWELL AVE
BROOKLYN, NY 11223-4250
Phone number: 718-947-3427
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Mailing Address
-- TABITHA GRONOCK LMSW
140 JACKSON AVE
STATEN ISLAND, NY 10305-4740
Phone number: 347-205-3069
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