Individual
MS. MARILYN C. GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3665 SE BYBEE BLVD, PORTLAND, OR 97202-7733
(503) 777-9433
Mailing address
3665 SE BYBEE BLVD, PORTLAND, OR 97202-7733
(503) 777-9433
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CO919
OR
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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