Individual
MRS. GRETCHEN L RUSNAK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, MSSA
Contact information
Practice address
6370 WISE AVE NW, NORTH CANTON, OH 44720-7350
(330) 818-0678
Mailing address
6370 WISE AVE NW, NORTH CANTON, OH 44720-7350
(330) 818-0678
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0800370
OH
Other
Enumeration date
09/01/2009
Last updated
11/13/2009
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