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Organization

GRAYSON SPEECH THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STEPHANIE HUDDLE (SLP OWNER)
(606) 922-2572
Entity
Organization

Contact information

Practice address
361 WINDBURN LN, GRAYSON, KY 41143-8372
(606) 922-2575
Mailing address
361 WINDBURN LN, GRAYSON, KY 41143-8372
(606) 922-2575

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
A2332
KY
252Y00000X
Early Intervention Provider Agency
PTAA01657
KY

Other

Enumeration date
01/28/2008
Last updated
01/28/2008
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