Provider Information for 1881637197
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Mrs. ROBIN LOUISE GROSS LCSW
Other Names:Former Name:ROBIN LOUISE CROSSSex: Female
NPI: 1881637197
Last Updated: 2021-07-21
Certification Date: 2021-07-21
Certification Date: 2021-07-21
Details
Name | Value | ||||||||
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NPI | 1881637197 | ||||||||
Enumeration Date | 2006-06-14 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 6902 MISTY BRK SAN ANTONIO, TX 78250-1747 United States Phone: 210-286-5982 | Fax: | ||||||||
Primary Practice Address | 6902 MISTY BRK SAN ANTONIO, TX 78250-1747 United States Phone: 210-286-5982 | Fax: | ||||||||
Secondary Practice Address(es) | 6902 MISTY BRK | ||||||||
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