MR. RALPH GROOM JR., LCSW, LBA

Social Worker - Clinical

Active Individual
NPI: 1568719953

Practice Address

3877 HUMPHREY ST
Saint Louis, MO 63116

Phone: (314) 704-0900

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X No 2013028554 (MO)
Social Worker - Clinical 1041C0700X Yes 2016004103 (MO)

Frequently Asked Questions

NPI 1568719953 is the National Provider Identifier for MR. RALPH GROOM JR., LCSW, LBA, a Social Worker - Clinical provider located in Saint Louis, MO. This NPI was enumerated on August 6, 2012.
MR. RALPH GROOM JR., LCSW, LBA practices at 3877 HUMPHREY ST, Saint Louis, MO 63116.

Quick Facts

NPI
1568719953
Type
Individual
Enumerated
Aug 6, 2012
Last Updated
Apr 27, 2020

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