Individual
NADINE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7414
Mailing address
8848 N LAKESHORE DR, TOOELE, UT 84074-9787
(267) 614-4385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
122510034102
UT
235Z00000X
Speech-Language Pathologist
SL013684
PA
Other
Enumeration date
04/12/2018
Last updated
08/10/2021
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