KEISHA GRANNUM

QUEENS VILLAGE, NY
NPI1245564897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  0189291)
Enumeration Date2009-09-30
Last Update Date2009-09-30
Business Address
-- KEISHA GRANNUM
10434 210TH ST
QUEENS VILLAGE, NY 11429-1420
Phone number: 347-678-1488
Mailing Address
-- KEISHA GRANNUM
10434 210TH ST
QUEENS VILLAGE, NY 11429-1420
Phone number:
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