Individual
GRACE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
8135 MOUNT VERNON RD, ST LOUISVILLE, OH 43071
(740) 345-5437
Mailing address
8135 MOUNT VERNON RD, ST LOUISVILLE, OH 43071-9670
(740) 345-5437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1500711
OH
Other
Enumeration date
07/24/2017
Last updated
07/21/2022
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