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NPI Code Detail

MEDICARE: DEBRA GROSS MA

MEDICARE: DEBRA GROSS MA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1821139858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA GROSS MA
Provider Business Mailing Address
First Line : 25 ANNE DR
Second Line :
City : TAUNTON
State : MA
Zip : 02780-2255
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 94 S MAIN ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2123
Country : US
Telephone Number : 508-947-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2007
Last Update Date : 07/08/2007

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Directions to “ DEBRA GROSS MA” Practice Location

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