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1215684626
BETHANY JAYNE GRACE
CRANSTON, RI
NPI
1215684626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: RI SP01649)
Enumeration Date
2022-03-05
Last Update Date
2022-03-05
Business Address
BETHANY JAYNE GRACE MS CCC-SLP
626 PARK AVE
CRANSTON, RI 02910-2154
Phone number: 401-270-9991
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Mailing Address
BETHANY JAYNE GRACE MS CCC-SLP
82 IVY ST APT 2
PROVIDENCE, RI 02906-2557
Phone number: 401-714-5548
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