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Individual

KENNETH GROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
102 N JACKSON ST, NEWTON, IL 62448-1900
(618) 783-7529
(618) 248-0551
Mailing address
600 S VAN BUREN ST, NEWTON, IL 62448-1652
(618) 783-7529
(618) 248-0551

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
217000528
IL

Other

Enumeration date
09/15/2021
Last updated
08/04/2025
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