Individual
MADELINE GRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5595 FEDERAL AVE, MEMPHIS, TN 38118-7918
(615) 652-7894
Mailing address
5595 FEDERAL AVE, MEMPHIS, TN 38118-7918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8375
TN
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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