Individual
HYCIANNA AYANA GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 318-3436
Mailing address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 318-3436
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/06/2022
Last updated
07/19/2022
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