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Individual
GRADY REDMOND
Active
Individual
GRADY REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
04-0000428
DE
235Z00000X
Speech-Language Pathologist
Primary
115002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387961101
—
TX
Enumeration date
08/26/2014
Last updated
10/15/2018
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