Individual
MR. DOUGLAS GROOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCSP
Contact information
Practice address
205 W CRAWFORD ST, VAN WERT, OH 45891-1903
(419) 238-2180
(419) 238-0526
Mailing address
205 W CRAWFORD ST, VAN WERT, OH 45891-1903
(419) 238-2180
(419) 238-0526
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
BG1022240
OH
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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