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Organization
SHAPED BY GRACE
Active
Organization
SHAPED BY GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY FISHBAUGH LISW-S (CEO/THERAPIST)
(567) 644-2028
Entity
Organization
Contact information
Practice address
5100 FAIRGROUND RD, CELINA, OH 45822-9775
(567) 644-2028
Mailing address
7095 EMERSON RD, CELINA, OH 45822-2946
(567) 644-2028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
08/20/2026
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