Provider Demographics
NPI:1992083984
Name:GROSS, ELIZABETH COLBY (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:COLBY
Last Name:GROSS
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Gender:F
Credentials:LCSW
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Mailing Address - Street 1:126 PHOENIX AVE
Mailing Address - Street 2:BLDG. #2
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-4931
Mailing Address - Country:US
Mailing Address - Phone:978-453-8331
Mailing Address - Fax:978-453-9253
Practice Address - Street 1:126 PHOENIX AVE
Practice Address - Street 2:BLDG. #2
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-4931
Practice Address - Country:US
Practice Address - Phone:978-453-8331
Practice Address - Fax:978-453-9253
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2172341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical