Individual
MISS GRACE DELWYN SHELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIGH SCHOOL DIPLOMA
Contact information
Practice address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-8705
(614) 487-7809
Mailing address
2716 ELLIOTT AVENUE, COLUMBUS, OH 43204
(614) 638-3585
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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