Individual
ISABELLE GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15063 366TH ST, BAGLEY, MN 56621-4665
(218) 431-0741
Mailing address
15063 366TH ST, BAGLEY, MN 56621-4665
(218) 431-0741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
32295
MN
104100000X
Social Worker
32295
MN
104100000X
Social Worker
—
—
Other
Enumeration date
04/19/2023
Last updated
09/26/2023
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