Individual
GRACIE MAE STRAIT-GILG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7690 NEW MARKET CENTER WAY, COLUMBUS, OH 43235-1976
(614) 602-6473
Mailing address
4710 CHANTERWOOD DR, COLUMBUS, OH 43231-5946
(702) 758-6986
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
235Z00000X
Speech-Language Pathologist
SLP8288
AZ
235Z00000X
Speech-Language Pathologist
SP-1473
NV
235Z00000X
Speech-Language Pathologist
Primary
SP.12430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236658
—
OH
Enumeration date
09/19/2012
Last updated
02/14/2018
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