Individual
GRANT THOMAS MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1510 E BROADWAY ST, BOLIVAR, MO 65613-1246
(417) 326-6284
Mailing address
3978 N SPRINGLAWN AVE, SPRINGFIELD, MO 65803-8106
(417) 848-8805
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2023031168
MO
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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