Individual
MRS. MICHELLE JENNIFER GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
103 S GIBSON ST, MEDFORD, WI 54451
(715) 748-8112
(715) 748-8792
Mailing address
135 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8100
(715) 748-8199
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2901-154
WI
Other
Enumeration date
01/11/2007
Last updated
07/10/2007
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