Organization
M&M SPEECH AND FEEDING SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENNA NOEL GRUBISS M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(216) 288-1613
Entity
Organization
Contact information
Practice address
9680 CRESTVIEW TER, GAINESVILLE, GA 30506-6768
(216) 288-1613
Mailing address
9680 CRESTVIEW TER, GAINESVILLE, GA 30506-6768
(216) 288-1613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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