Individual
GRACELYN ROSE KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
11161 KENWOOD RD, BLUE ASH, OH 45242-1817
(513) 744-4624
Mailing address
6239 MUDDY CREEK RD, CINCINNATI, OH 45233-4435
(937) 779-0072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2405481-TRNE
OH
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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