Individual
GRACE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
85 RIVERSIDE AVE., C-6, STAMFORD, CT 06905-4433
(203) 324-5482
Mailing address
85 RIVERSIDE AVE., C-6, STAMFORD, CT 06905-4433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008851-1
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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