Individual
KATHRYN GRACE VAN GUNTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23400 E BAINTREE RD, BEACHWOOD, OH 44122-1248
(216) 932-2930
Mailing address
2593 QUEENSTON RD, CLEVELAND HEIGHTS, OH 44118-4351
(216) 773-1194
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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