ELLEN REBECCA GRADE

KENNESAW, GA
NPI1447714472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP009786)
Enumeration Date2019-01-23
Last Update Date2019-01-23
Business Address
ELLEN REBECCA GRADE
3105 CREEKSIDE VILLAGE DR NW STE 604
KENNESAW, GA 30144-4218
Phone number: 770-974-2424
Mailing Address
ELLEN REBECCA GRADE
220 26TH ST NW APT 6207
ATLANTA, GA 30309-1929
Phone number: 678-910-5404
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