Individual
STACY GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
2215 FOREST HILLS DR, HARRISBURG, PA 17112-1099
(717) 963-8507
Mailing address
4571 RICKER ST, HARRISBURG, PA 17109-2802
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW128337
PA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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