Individual
MS. EDITH GRAICHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
30 ARBOR LN, DEDHAM, MA 02026-1437
(617) 543-0430
Mailing address
30 ARBOR LN, DEDHAM, MA 02026-1437
(617) 543-0430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3911
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0303925
—
MA
Enumeration date
05/10/2007
Last updated
07/09/2007
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