Individual
MRS. CINDY K GROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1901A LOGUE RD, MOUNT JULIET, TN 37122-3825
(615) 815-1772
(615) 453-0011
Mailing address
1901A LOGUE RD, MOUNT JULIET, TN 37122-3825
(615) 815-1772
(615) 453-0011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005114
TN
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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