Grachek-White, Laurie K

Grachek-White, Laurie K is an individual health care provider with primary practice located at 5735 Meeker Rd , Greenville OH 45331-1180. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grachek-White, Laurie K can be contacted via phone (937) 548-9680.

Contact Information

Primary practice address
5735 Meeker Rd Greenville OH 45331-1180
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0002630 Ohio

Profile Details

NPI number 1124193669
LBN Legal business name Grachek-White, Laurie K
Credentials PHD, LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Feb 17th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124193669 NPPES
Ohio Other 0002630 LICENSED IND SOCIAL WORKE

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