Individual
MS. MELISSA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
108 W MERCHANT ST, AUDUBON, NJ 08106-1424
(609) 304-5101
Mailing address
PO BOX 2111, HADDONFIELD, NJ 08033-0861
(609) 304-5101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00637200
NJ
Other
Enumeration date
11/17/2010
Last updated
02/23/2012
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