Individual
LISA VALE GRANT-RAUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2011 TIMBER LN, DAYTON, OH 45414-4528
(937) 278-5885
Mailing address
2011 TIMBER LN, DAYTON, OH 45414-4528
(937) 278-5885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP6788
OH
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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