Individual
EILEEN NANCY GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6848 STIRLING RD, HOLLYWOOD, FL 33024-1842
(954) 362-0104
(954) 364-4595
Mailing address
6848 STIRLING RD, HOLLYWOOD, FL 33024-1842
(954) 362-0104
(954) 364-4595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW16815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW16815
DEPARTMENT OF HEALTH
FL
Enumeration date
11/14/2019
Last updated
11/14/2019
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