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Individual
MARCIA GRICKO
Active
Individual
MARCIA GRICKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,C.C.C.-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00087600
NJ
231H00000X
Audiologist
A-00874
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0972309
—
OH
05
—
20855147
—
OH
01
—
4246971
MEDICARE PTAN
—
01
—
P00681450
MEDICARE RAILROAD PTAN
OH
Enumeration date
07/28/2008
Last updated
03/14/2025
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