Search › Missouri › 1041C0700X
Ralph Groom, LCSW, LBA
NPI 1568719953 · on the registry since 2012
Practice
- Address
- 3877 Humphrey St
Saint Louis, MO 63116 - Phone
- (314) 704-0900
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 103K00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri