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Individual
JOHN M GROVE
Active
Individual
JOHN M GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23-1427224
—
PA
Enumeration date
05/24/2016
Last updated
05/24/2016
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