Grayden Boyd Provance
Grayden Boyd Provance is a Peer Specialist in Canton, Ohio. Licensed in Ohio. Registered with an NPI since 2018.
- Licensed in
- OH
- In the registry since
- 2018
Practice location Address checks out
400 Tuscarawas St WCanton, OH 44702-2044
Phone: (330) 438-2400
Fax: (330) 438-3003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 00495 (OH) |
|---|
Record details
| NPI number | 1730682410 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 9, 2018 |
| Last updated in NPPES | March 9, 2018 |
| Mailing address | 5982 Rhodes Rd, Kent, OH 44240-8100 |
Other providers in Canton
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Amanda Lynn Petersen, CDCA
624 Market Ave N, Canton, OH 44702-1017 · (330) 209-9016
-
Deonna Peterson
400 Tuscarawas St W Ste 200, Canton, OH 44702-2044 · (330) 438-2400
-
Danita J Phillips
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-
Carrie Ann Plath
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Angela Rhoad
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Mr. Dean Elmer Roach
3311 12th St NW, Canton, OH 44708-3909 · (330) 413-4107
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