Individual
MRS. SHIRLEY ANN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
925 S BLACK HORSE PIKE STE B, WILLIAMSTOWN, NJ 08094-1900
(856) 562-5892
Mailing address
152 STOKES RD, MEDFORD LAKES, NJ 08055-1523
(609) 304-6141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
YSO2365
NJ
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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