Individual
JESSIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1109 BROOK RD, WAITSFIELD, VT 05673-7153
(802) 496-4668
(802) 496-7824
Mailing address
PO BOX 768, WAITSFIELD, VT 05673-0768
(802) 496-4668
(802) 496-7824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VT
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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