Mary Diane Grove, CSC-AD
NPI #1053900381 in Charlotte Hall, Maryland
Provider Information
- NPI Number
- 1053900381
- Entity Type
- Individual
- Name
- Mary Diane Grove, CSC-AD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CSC-AD
- Enumeration Date
- Jan 12, 2021
- Last Updated
- Jan 12, 2021
Practice Location
- Address
- 30007 BUSINESS CENTER DR
- City
- Charlotte Hall
- State
- Maryland
- ZIP Code
- 20622-3101
- Phone
- (301) 997-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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