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Individual

MICHAEL S GROVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW, LCAC

Contact information

Practice address
121 S WHITTIER RD STE 360, WICHITA, KS 67207-1064
(816) 866-7039
(316) 351-6446
Mailing address
121 S WHITTIER RD STE 360, WICHITA, KS 67207-1064
(816) 866-7039
(316) 351-6446

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
567
KS
104100000X
Social Worker
Primary
6823
KS

Other

Enumeration date
10/27/2021
Last updated
10/27/2021
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