Individual
JENNIFER GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 SOUTH LAFAYETTE ST., LEWISBURG, WV 24901
(304) 380-5441
Mailing address
PO BOX 249, ROUTE 92,, WHITE SULPHUR SPRINGS, WV 24986
(304) 536-4661
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1203
WV
235Z00000X
Speech-Language Pathologist
P/SLP-0449
WV
Other
Enumeration date
06/19/2008
Last updated
12/16/2010
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