Individual
HEATHER GROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4499 GA HIGHWAY 40 E STE A, SAINT MARYS, GA 31558-9402
(912) 464-4265
Mailing address
4499 GA HIGHWAY 40 E STE A, SAINT MARYS, GA 31558-9402
(912) 464-4265
(912) 729-4626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009561
GA
Other
Enumeration date
04/12/2023
Last updated
12/01/2025
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