Individual
AMBER GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2844 TRACELAND DR, TUPELO, MS 38801-4200
(662) 680-3148
Mailing address
40 MOUNT PISGAH RD NW, MANTACHIE, MS 38855-8283
(662) 397-4475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4216
MS
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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