Individual
GRACE WHISTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
700 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-2820
(614) 882-9338
Mailing address
700 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-2820
(614) 882-9338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S1302448
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200375
—
OH
Enumeration date
05/01/2015
Last updated
05/01/2015
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