Individual
MAEGHAN GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACIT 1
Contact information
Practice address
1759 HOGAN DR, KOKOMO, IN 46902-5078
(765) 480-9187
Mailing address
1759 HOGAN DR, KOKOMO, IN 46902-5078
(765) 480-9187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-5101
IN
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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