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Individual

GRACE HANZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, CDCA

Contact information

Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1500695
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
E0001927
OH
Enumeration date
08/11/2016
Last updated
08/11/2016
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