Individual
AMY GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
848 WOODBINE BLVD # 848, JACKSON, MI 49203-2658
(517) 414-5798
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
164W00000X
Licensed Practical Nurse
Primary
4703129976
MI
Other
Enumeration date
12/19/2018
Last updated
05/20/2025
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