Individual
MS. AUDREY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LAKE AVE N, SPEECH LANGUAGE PATHOLOGY, WORCESTER, MA 01655-0002
(508) 334-8700
Mailing address
281 LINCOLN ST, MEDICAL STAFF SERVICES, WORCESTER, MA 01605-2138
(508) 334-8015
(508) 334-5374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4442
MA
Other
Enumeration date
02/17/2007
Last updated
07/08/2007
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