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NPI Code Detail

MEDICARE: KARA GROSS L.C.S.W.

MEDICARE: KARA GROSS L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW0000006594TN
21041C0700XClinical Social Worker5058TN

General Provider Information

NPI Number : 1417153891
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA GROSS L.C.S.W.
Provider Business Mailing Address
First Line : 2911 BRUNSWICK RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38133-4105
Country : US
Telephone Number : 901-373-0935
Fax Number : 901-373-0984
Provider Business Practice Location Address
First Line : 2911 BRUNSWICK RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38133-4105
Country : US
Telephone Number : 901-373-0935
Fax Number : 901-373-0984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 04/19/2014

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Directions to “ KARA GROSS L.C.S.W.” Practice Location

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