Individual
MACKENNA NOEL GRUBISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2360 MURPHY BLVD, GAINESVILLE, GA 30504-6002
(770) 535-8372
Mailing address
2360 MURPHY BLVD, GAINESVILLE, GA 30504-6002
(770) 535-8372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011134
GA
Other
Enumeration date
08/16/2019
Last updated
03/15/2023
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