Individual
GRACE MICHAELA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 1602, JACKSONVILLE, FL 32216-6298
(904) 945-7556
Mailing address
6817 SOUTHPOINT PKWY STE 1602, JACKSONVILLE, FL 32216-6298
(904) 945-7556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA17268
FL
Other
Enumeration date
05/16/2018
Last updated
01/30/2024
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