Individual
GRACE ELANE MERRIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
1817 S 7TH ST APT 1, WACO, TX 76706-2430
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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