Individual
MR. MATTHEW PAUL GROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
96 ALI WAY, OXFORD, AL 36203-1835
(256) 832-4141
Mailing address
1205 9TH ST NE, JACKSONVILLE, AL 36265-1207
(256) 832-4153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3564C
AL
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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