Individual
MS. IRENE MARY HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
238 S. MERIDIAN RD., YOUNGSTOWN, OH 44509
(330) 318-3416
(330) 856-5839
Mailing address
1702 CRANBERRY LANE N.E. APT 159, WARREN, OH 44483
(330) 766-5736
(330) 856-5839
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS991312
DRIVER LICENSE
OH
Enumeration date
05/27/2021
Last updated
11/01/2023
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