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NPI Code Detail

MEDICARE: ZOE HOLIDAY GROSSMAN

MEDICARE: ZOE HOLIDAY GROSSMAN
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 Worker

General Provider Information

NPI Number : 1548122112
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE HOLIDAY GROSSMAN
Provider Business Mailing Address
First Line : 4 BRADLEY ST APT 3
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-5691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15 BRICKYARD RD
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-4443
Country : US
Telephone Number : 802-404-2497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ ZOE HOLIDAY GROSSMAN ” Practice Location

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