Individual
MS. STEPHANIE LYNNE GROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3517 WHITE CLIFF WAY, WHITESTOWN, IN 46075-9737
(317) 362-2094
Mailing address
3517 WHITE CLIFF WAY, WHITESTOWN, IN 46075-9737
(317) 362-2094
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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