Individual
AMANDA D GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 S MAIN ST, NAPERVILLE, IL 60540-5484
(630) 333-9912
Mailing address
15941 HARLEM AVE # 133, TINLEY PARK, IL 60477-1609
(312) 631-7971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.102788
IL
1041C0700X
Clinical Social Worker
Primary
149.022554
IL
Other
Enumeration date
04/25/2018
Last updated
01/22/2025
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