Individual
GRACE VICTORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2153 CORAL WAY, SUITE 602, CORAL GABLES, FL 33145-2631
(305) 856-1999
(305) 856-7600
Mailing address
2153 CORAL WAY, SUITE 602, CORAL GABLES, FL 33145-2631
(305) 856-1999
(305) 856-7600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA12747
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ6080
FL
Other
Enumeration date
02/01/2013
Last updated
06/23/2014
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