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Individual

GRACE HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1195 MEADOW BRIDGE DR, BEAVERCREEK, OH 45434-4301
(937) 306-8811
Mailing address
650 WHITE OAK DR, SPRINGFIELD, OH 45504-4171
(937) 460-1840

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB884655
OH

Other

Enumeration date
02/07/2023
Last updated
02/07/2023
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