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Individual

GRACIE V WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
49 JOHNSON RD, THE PLAINS, OH 45780-1146
(740) 764-4529
Mailing address
49 JOHNSON RD, THE PLAINS, OH 45780-1146
(740) 764-4529

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
S00679
OH

Other

Enumeration date
09/17/2021
Last updated
07/02/2025
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