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Individual

MRS. EMMA GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
829 W DR MARTIN LUTHER KING JR BLVD STE 254, TAMPA, FL 33603-3309
(813) 586-0802
(813) 761-0755
Mailing address
829 W DR MARTIN LUTHER KING JR BLVD STE 254, TAMPA, FL 33603-3309
(813) 586-0802
(813) 761-0755

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA21902
FL

Other

Enumeration date
07/30/2024
Last updated
07/30/2024
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