Individual
MS. ELIZABETH K GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
12210 SE 15TH ST, VANCOUVER, WA 98683-6224
(360) 260-9816
Mailing address
12210 SE 15TH ST, VANCOUVER, WA 98683-6224
(360) 260-9816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003745
WA
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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