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Individual

COURTNEY L GRIEBENOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, MSW

Contact information

Practice address
601 CLEVELAND AVE NW, CANTON, OH 44702-1836
(330) 455-0374
(330) 453-6716
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
S.2106332
OH
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0420053
OH
Enumeration date
04/16/2019
Last updated
04/08/2026
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