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Stacey Graham

NPI 1407451768 · on the registry since 2020 · sole proprietor

Practice

Address
2688 E Smithville Western Rd
Wooster, OH 44691
Phone
(133) 028-4757
Fax
(330) 345-1323

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio