Individual
JANE L GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
975 KINGSVIEW DR BLDG A, LEBANON, OH 45036-9562
(513) 228-7800
(513) 228-7846
Mailing address
204 COOK RD, SUITE 400, LEBANON, OH 45036-9600
(513) 228-7800
(513) 695-2952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0004412-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228724
ANTHEM PIN
—
01
—
11538022
CAQH #
—
Enumeration date
05/22/2006
Last updated
05/04/2018
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