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Individual
MRS. MARLENE ELAINE GRUVER
Active
Individual
MRS. MARLENE ELAINE GRUVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S0018034
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0560744
—
OH
01
—
18232226700
SHEAKLEY UNICOMP
OH
01
—
3418557621A13
BLUECROSS/BLUE SHIELD
OH
01
—
5255599
AETNA
OH
Enumeration date
07/07/2006
Last updated
07/09/2007
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