Individual
CYNTHIA ANN GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
86 TANENBERG TRAIL, SMART CHILD AND FAMILY SERVICES, WINDHAM, ME 04062
(207) 893-0386
Mailing address
15 KERRI FARMS DR, STANDISH, ME 04084-5435
(207) 831-7456
(207) 929-9181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC2410
—
1041C0700X
Clinical Social Worker
Primary
LC7444
ME
Other
Enumeration date
11/17/2008
Last updated
05/27/2014
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