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Individual

MRS. FROWNIETA GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
355 RIDGE RUN TRL, IRMO, SC 29063-8667
(803) 271-2364
(803) 708-5618
Mailing address
515 S HIGHLAND FOREST DR, COLUMBIA, SC 29203-1925

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4300
SC

Other

Enumeration date
10/24/2014
Last updated
10/24/2014
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