Individual
EILEEN MARIE GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 NE REVERE AVE, BEND, OR 97701-4018
(541) 241-6371
Mailing address
61266 MOUNT VISTA DR, BEND, OR 97702-9603
(541) 706-0236
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6161
OR
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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