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Individual

GRAYSON NORTHCUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CGC

Contact information

Practice address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 854-8430
Mailing address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 854-8430

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
74000764A
IN
170300000X
Genetic Counselor (M.S.)
Primary

Other

Enumeration date
06/25/2024
Last updated
01/23/2026
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