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Individual

GRACE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
3445 GEMSTONE DR, APARTMENT #535, COLUMBUS, IN 47201-8173
(812) 343-9773

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005996A
IN

Other

Enumeration date
12/10/2014
Last updated
12/10/2014
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