Individual
GRACE PORTZLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SWT
Contact information
Practice address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
Mailing address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2403798
OH
104100000X
Social Worker
Primary
S.2512579
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066140
—
OH
Enumeration date
09/10/2024
Last updated
08/08/2025
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