Individual
ANGIE L GAUCIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 E RIVERVIEW AVE, NAPOLEON, OH 43545-1860
(567) 264-4055
(567) 264-4064
Mailing address
824 E RIVERVIEW AVE, NAPOLEON, OH 43545-1860
(567) 264-4055
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2760758
—
OH
05
—
3500250
—
OH
Enumeration date
11/13/2020
Last updated
11/13/2020
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