Individual
GRACE DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1625 STRAITS TPKE STE 303, MIDDLEBURY, CT 06762-1836
(203) 598-0400
(203) 598-0852
Mailing address
22 TOMPKINS ST, WATERBURY, CT 06708-1458
(203) 419-0381
(203) 419-0389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5049
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004190328
—
CT
Enumeration date
03/13/2023
Last updated
03/13/2023
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