Individual
MS. BETH CARLIN GRAVELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 DIVISADERO ST, SAN FRANCISCO, CA 94115-3911
(415) 921-7658
(415) 921-2243
Mailing address
1234 DIVISADERO ST, SAN FRANCISCO, CA 94115-3911
(415) 921-7658
(415) 921-2243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-17296
CA
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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