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Individual
SARA GRAVES
Active
Individual
SARA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111682
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111682
TX SLP LICENSE
TX
01
—
14085717
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)
—
Enumeration date
10/05/2021
Last updated
10/05/2021
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