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MS. MELISSA GRAHAM M.A., CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1659673051

Individual Registrant:
MS. MELISSA  GRAHAM M.A., CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
108 W MERCHANT ST  AUDUBON, NJ 08106-1424 US
Tel: 609-304-5101  Fax: --

Contact information for business:
PO BOX 2111  HADDONFIELD, NJ 08033-0861 US
Tel: 609-304-5101  Fax: --

Registration Information:
NPI: 1659673051
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
NJ41YS00637200

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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