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Individual

MR. DAVID CHRISTOPHER HARGRAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
THE VILLAGE NETWORK 2000 NOBLE DRIVE, WOOSTER, OH 44691-2311
(330) 202-3976
(330) 202-3894
Mailing address
THE VILLAGE NETWORK 2000 NOBLE DRIVE, WOOSTER, OH 44691-2311
(330) 202-3976
(330) 202-3894

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
S1502351
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093103988
AOF
OH
01
1124057914
BEHAVIORAL HEALTH
OH
05
2847147
OH
01
H233270
MEDICARE
OH
Enumeration date
09/07/2017
Last updated
07/21/2022
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