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Individual

EDWARD LEE GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SPEECH THERAPIST

Contact information

Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
244 MIDDLE RD, OSWEGO, NY 13126-5878
(315) 806-7642

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
NY

Other

Enumeration date
08/20/2018
Last updated
07/21/2022
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