Individual
KELLY ANN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-SLP
Contact information
Practice address
3 INDUSTRIAL WAY E, EATONTOWN, NJ 07724-3318
(732) 544-1557
Mailing address
8 COUNTRY CLUB RD, APARTMENT #26, EATONTOWN, NJ 07724-1119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00541200
NJ
Other
Enumeration date
04/26/2007
Last updated
02/03/2023
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