Individual
MRS. GRACE J MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3313 BUNTING LN, LAFAYETTE, IN 47909-6828
(765) 404-6518
Mailing address
3313 BUNTING LN, LAFAYETTE, IN 47909-6828
(765) 404-6518
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
29001322A
IN
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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