Individual
KELLEY JEAN GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
540 OLD COUNTY RD, ETNA, ME 04434-3818
(207) 577-1646
Mailing address
223 S LIVERMORE RD, TURNER, ME 04282-3102
(207) 577-1646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11550
ME
Other
Enumeration date
12/06/2006
Last updated
01/09/2020
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