MISS Jessica Gram

NPI #1114582749 in Canton, Ohio

Provider Information

NPI Number: 1114582749
Entity Type: Individual
Name: MISS Jessica Gram
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: May 9, 2019
Last Updated: May 9, 2019

Practice Location

Address: 400 TUSCARAWAS ST W
City: Canton
State: Ohio
ZIP Code: 44702-2044
Phone: (330) 438-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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