Individual
MS. CHARLOTTE C GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 998-5664
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 998-5664
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.006126
IL
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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