MARY M GRANT

FORT WAYNE, IN
NPI1487823399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22000731A)
Enumeration Date2008-02-25
Last Update Date2008-02-25
Business Address
-- MARY M GRANT SLP
2837 E DUPONT RD
FORT WAYNE, IN 46825-1668
Phone number: 260-497-0328
Mailing Address
-- MARY M GRANT SLP
2837 E DUPONT RD
FORT WAYNE, IN 46825-1668
Phone number: 260-497-0328