TRACY MARIE GROVE

CALDWELL, ID
NPI1417393869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-32904)
Enumeration Date2013-05-13
Last Update Date2013-05-13
Business Address
-- TRACY MARIE GROVE LCSW
1909 S 10TH AVE
CALDWELL, ID 83605-4842
Phone number: 208-863-3450
Mailing Address
-- TRACY MARIE GROVE LCSW
1909 S 10TH AVE
CALDWELL, ID 83605-4842
Phone number: 208-863-3450
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