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Organization

MY SPEECH POCKET, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MACY GRATHWOL MSED CCC-SLP (OWNER/SLP)
(804) 390-5599
Entity
Organization

Contact information

Practice address
6155 DERBY WAY, RUTHER GLEN, VA 22546-2753
(804) 390-5599
Mailing address
6155 DERBY WAY, RUTHER GLEN, VA 22546-2753
(804) 390-5599

Taxonomy

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

Other

Enumeration date
08/10/2020
Last updated
08/10/2020
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