| Doctor Name: | VICKI L CONGROVE |
| NPI Number: | 1104127075 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | |
| Business Practice Address: | 1300 E Paint St Washington Court House, OH - 431601676 |
| Business Phone Number: | 7403356935 |
| Business Fax Number: | 7403357423 |
| Mailing Address: | 4449 State Route 159, P.o. Box 6179 CHILLICOTHE |
| State: | OH |
| Postal Code: | 456018620 |
| Phone Number: | 7407751260 |
| Fax Number: | 7407731264 |
| NPI Enumeration Date: | 11/09/2010 |
| NPI Last Update Date: | 07/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |