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Individual

DR. DANIEL E GROHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD LCSW

Contact information

Practice address
6072 BRYNWOOD DR STE 208, ROCKFORD, IL 61114-5829
(815) 721-1320
Mailing address
11520 BEND RIVER RD, ROSCOE, IL 61073
(815) 721-1320
(815) 623-1938

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149006360
IL

Other

Enumeration date
01/29/2007
Last updated
02/25/2018
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