Individual
SAMANTHA MARIE GRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CUMMINGS CTR STE 158D, BEVERLY, MA 01915-6115
(978) 921-1182
Mailing address
91 PINE ISLAND RD, GROTON, CT 06340-6024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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