Individual
ANGELIA GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
955 DANA AVE, CINCINNATI, OH 45229-2214
(513) 866-0629
Mailing address
955 DANA AVE, CINCINNATI, OH 45229-2214
(513) 866-0629
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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