Individual
GRACIE ANN DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3844 35TH ST NE, CANTON, OH 44705-4310
(330) 209-2569
Mailing address
3844 35TH ST NE, CANTON, OH 44705-4310
(330) 209-2569
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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