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Individual

BRYCE ALLEN GRINDSTAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 445-2677
(330) 455-2101
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S2005696
OH
1041C0700X
Clinical Social Worker
Primary
S2005696
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0425964
OH
Enumeration date
02/19/2020
Last updated
02/24/2026
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