Individual
JESSICA N GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW-S
Contact information
Practice address
4 OFFICE PARK CIR STE 212, MOUNTAIN BRK, AL 35223-2538
(205) 281-9091
Mailing address
640 HICKORY ST, BIRMINGHAM, AL 35206-1615
(205) 282-9091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4416C-S
AL
Other
Enumeration date
10/21/2020
Last updated
09/05/2023
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