Individual
DANA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
125 GOFF AVE UNIT 1202, PAWTUCKET, RI 02860-3096
(401) 207-5239
Mailing address
125 GOFF AVE UNIT 1202, PAWTUCKET, RI 02860-3096
(401) 207-5239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP01657
RI
235Z00000X
Speech-Language Pathologist
Primary
SP3873
ME
Other
Enumeration date
04/11/2023
Last updated
01/18/2024
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