Individual
DANIELLE GRAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 N MAIN ST, GREENSBORO, MD 21639-1469
(302) 500-3627
Mailing address
9710 NANTICOKE CIR, SEAFORD, DE 19973-8640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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