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Individual

KATHARINE GRIDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 W LANIER AVE, SUITE 702, FAYETTEVILLE, GA 30214-7636
(770) 719-0375
(678) 817-0330
Mailing address
500 W LANIER AVE, SUITE 702, FAYETTEVILLE, GA 30214-7636
(770) 719-0375
(678) 817-0330

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001692
GA

Other

Enumeration date
07/07/2006
Last updated
07/08/2007
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