Individual
LEONORA GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 HALL AVE, NEWPORT, RI 02840-1624
(865) 216-9661
Mailing address
40 HALL AVE, NEWPORT, RI 02840-1624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01238
RI
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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