Individual
KRISTA JOYNER GRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. S., CCC-SLP
Contact information
Practice address
58 OFFICE PARK DR, JACKSONVILLE, NC 28546-3218
(910) 353-2440
Mailing address
143 N BELVEDERE DR, HAMPSTEAD, NC 28443-2426
(910) 916-5788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14913
NC
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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