Individual
GRACE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18791 N 1330 EAST RD, PONTIAC, IL 61764-3379
(815) 674-2661
Mailing address
18791 N 1330 EAST RD, PONTIAC, IL 61764-3379
(815) 674-2661
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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