GRACE MALLIS MONTGOMERY

TAMPA, FL
NPI1063297430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2023-08-25
Last Update Date2023-08-25
Business Address
GRACE MALLIS MONTGOMERY
4707 W GANDY BLVD STE 3
TAMPA, FL 33611-3310
Phone number: 813-728-6601
Mailing Address
GRACE MALLIS MONTGOMERY
12831 TIKAL WAY
TRINITY, FL 34655-7253
Phone number: 727-386-3896
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