Grooms, Samantha Jo

Grooms, Samantha Jo is an individual health care provider with primary practice located at 953 S South St , Wilmington OH 45177-2921. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grooms, Samantha Jo can be contacted via phone (937) 383-4441.

Contact Information

Primary practice address
953 S South St Wilmington OH 45177-2921
Phone: (937) 383-4441
Fax: (937) 383-2916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S-1000331 Ohio

Profile Details

NPI number 1770983637
LBN Legal business name Grooms, Samantha Jo
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2014
Last updated Aug 28th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers