Individual
KOSBIE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 LINEBERRY BLVD, MOUNT JULIET, TN 37122-5517
(615) 553-2285
Mailing address
6905 NORTHLAKE DR, JACKSONVILLE, AR 72076-4911
(501) 553-2415
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8409
TN
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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