Individual
JENNIFER GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC, SLP
Contact information
Practice address
15 DOGWOOD CIR, WOODBRIDGE, CT 06525-1247
(203) 980-7474
Mailing address
15 DOGWOOD CIR, WOODBRIDGE, CT 06525-1247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003678
CT
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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