Individual
MRS. MOLLY GRANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MAIN ST, SUFFOLK, VA 23434-4529
(757) 925-6764
Mailing address
100 N MAIN ST, SUFFOLK, VA 23434-4529
(757) 925-6764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005941
VA
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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