Individual
CODY ROBERT GRAYBEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2587 BACK ORRVILLE RD, WOOSTER, OH 44691-9523
(330) 264-9597
(330) 264-0946
Mailing address
2587 BACK ORRVILLE RD, WOOSTER, OH 44691-9523
(330) 264-9597
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2303286-TRNE
OH
104100000X
Social Worker
Primary
S2513056
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039636
—
OH
Enumeration date
04/05/2018
Last updated
10/30/2025
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