Individual
MR. BENJAMIN R. GROOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
620 N MORRISON BLVD, SUITE C, HAMMOND, LA 70401-2312
(985) 543-4113
(985) 543-4109
Mailing address
620 N MORRISON BLVD, SUITE C, HAMMOND, LA 70401-2312
(985) 543-4109
(985) 543-4109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4997
LA
1041C0700X
Clinical Social Worker
4997
LA
Other
Enumeration date
10/29/2010
Last updated
10/21/2011
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