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Individual

MRS. GAIL DIVIZIO GRUBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A./CCC-SLP

Contact information

Practice address
2925 POLO PKWY, MIDLOTHIAN, VA 23113-1453
(804) 323-9060
(804) 323-7576
Mailing address
11260 CLEMENTOWN RD, AMELIA COURT HOUSE, VA 23002-5131
(804) 561-0183

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000675
VA

Other

Enumeration date
10/16/2006
Last updated
07/08/2007
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