Mary Robin Grove, CRC, LPC

NPI #1043648694 in Canton, Georgia

Provider Information

NPI Number: 1043648694
Entity Type: Individual
Name: Mary Robin Grove, CRC, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: CRC, LPC
Enumeration Date: Oct 17, 2013
Last Updated: Oct 17, 2013

Practice Location

Address: 310 PAPER TRAIL WAY
Address 2: 106
City: Canton
State: Georgia
ZIP Code: 30115-5203
Phone: (678) 880-4645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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