Individual
SUSAN LESLIE MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2589 44TH ST SE, GRAND RAPIDS, MI 49512-3877
(616) 643-2564
(616) 643-2539
Mailing address
2310 PLEASANT POND DR SW, BYRON CENTER, MI 49315-8488
(616) 719-7720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000856
MI
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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