Individual
GRACE CREASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 BERMUDA VILLAGE DR, BERMUDA RUN, NC 27006-7867
(336) 998-6112
Mailing address
206 N GREEN ST APT 361, WINSTON SALEM, NC 27101-3155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30004182
NC
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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