Individual
SABRINA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED.
Contact information
Practice address
7878 N 76TH ST, MILWAUKEE, WI 53223-3914
(414) 586-5760
Mailing address
7878 N 76TH ST, MILWAUKEE, WI 53223-3914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4372-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061988
—
WI
Enumeration date
10/26/2016
Last updated
11/18/2019
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