Ivy B Gross, LICSW

NPI #1003247305 in Somerville, Massachusetts

Provider Information

NPI Number: 1003247305
Entity Type: Individual
Name: Ivy B Gross, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Dec 12, 2013
Last Updated: Mar 21, 2023

Practice Location

Address: 43 JACKSON RD # 2
City: Somerville
State: Massachusetts
ZIP Code: 02145-2908
Phone: (954) 465-5478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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