Individual
GRACIE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030-3576
(855) 983-0488
Mailing address
164 BROADWAY AVE, MOUNT AIRY, NC 27030-9137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003873
NC
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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