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Individual

MRS. MARY TODD GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC/SLP

Contact information

Practice address
240 E MAIN ST, GREGORY BUILDING, MOUNT VERNON, KY 40456-2210
(606) 256-4449
Mailing address
PO BOX 220, MOUNT VERNON, KY 40456-0220
(606) 256-4449

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0008
KY
235Z00000X
Speech-Language Pathologist
SA 8631
FL

Other

Enumeration date
10/25/2008
Last updated
10/25/2008
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