Individual
DEBORAH GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
100 WALTER STEPHENSON RD, MIDLOTHIAN, TX 76065-3418
(972) 890-4808
Mailing address
3019 NADAR, GRAND PRAIRIE, TX 75054-6791
(972) 890-4808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14230402
TX
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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