Individual
MRS. LAUREN C GRAEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
229 E PINEBROOK DR, BRANDON, MS 39047-7819
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2919
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12101285
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
Enumeration date
04/29/2009
Last updated
04/29/2009
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