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1700061868
LAURIE KIM GRANT
DANVERS, MA
NPI
1700061868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MA 6223)
Enumeration Date
2008-01-08
Last Update Date
2008-01-08
Business Address
LAURIE KIM GRANT
149 SYLVAN ST
DANVERS, MA 01923-3564
Phone number: 978-774-7570
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Mailing Address
LAURIE KIM GRANT
95 BIRCH ST
PEABODY, MA 01960-1061
Phone number: 978-535-7867
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