Organization
GROW TOGETHER SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE VANGESSEL MA (SPEECH-LANGUAGE PATHOLOGIST)
(260) 226-6135
Entity
Organization
Contact information
Practice address
5525 OAK VALLEY PL, FORT WAYNE, IN 46845-1836
(260) 226-6135
Mailing address
8810 HUNTERS KNOLL RUN, FORT WAYNE, IN 46825-6413
(260) 226-6135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
08/25/2022
Last updated
10/13/2023
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