Individual
SAMANTHA NICHOLE GRUVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 FREDERICK ST, BLUEFIELD, WV 24701-3942
(276) 970-2075
Mailing address
148 MCDOWELL ST, WELCH, WV 24801-2225
(276) 970-2075
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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