Individual
DOMINIQUE SHANEY GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17325 EUCLID AVE # 2045, CLEVELAND, OH 44112-1247
(216) 618-8731
Mailing address
17325 EUCLID AVE # 2045, CLEVELAND, OH 44112-1247
(216) 618-8731
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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