Individual
ELISA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 A C SKINNER PKWY, JACKSONVILLE, FL 32256-0836
(904) 654-8455
Mailing address
2824 BASTIA CT, JACKSONVILLE, FL 32246-5532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA6827
FL
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
03/04/2025
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