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Individual

HEATHER NICOLE GRANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., CCC-SLP

Contact information

Practice address
2717 WINDEMERE DR, SUITE E, VALDOSTA, GA 31602-1686
(229) 244-1667
(229) 244-8253
Mailing address
156 SUMMER MEADOWS LN, THOMASVILLE, GA 31757-0116
(229) 244-1667
(229) 244-8253

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007211
GA

Other

Enumeration date
09/07/2012
Last updated
09/07/2012
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