Individual
MS. LAURA S HARGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
37 GRIST MILL RD, MOODUS, CT 06469-1216
(860) 608-7618
Mailing address
37 GRIST MILL RD, MOODUS, CT 06469-1216
(860) 608-7618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002339
CT
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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