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1164256905
COLLEEN NOELLE GRANATA
FREDERICK, MD
NPI
1164256905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 02998L)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
Ms. COLLEEN NOELLE GRANATA CF-SLP
4640 WEDGEWOOD BLVD STE 101-105
FREDERICK, MD 21703-7114
Phone number: 240-457-9558
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Mailing Address
Ms. COLLEEN NOELLE GRANATA CF-SLP
2910 TWEED DR
FINKSBURG, MD 21048-2006
Phone number: 443-603-3862
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