Individual
MS. W ELAINE GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1203 VISTA DRIVE, ROLLA, MO 65401-2052
(573) 364-6540
Mailing address
1203 VISTA DRIVE, ROLLA, MO 65401-2052
(573) 364-6540
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01011
MO
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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