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Mary Grace Shafer, CCC-SLP

Speech-Language Pathologist, in Arlington, TX. Individual provider (NPI-1).

NPI number1144729161
StatusActive
Last updated in NPPESFeb 5, 2018

Details

NPI
1144729161
Entity type
Individual (NPI-1)
Name
Mary Grace Shafer
Credential
CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 5, 2018
Last updated
Feb 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,114284TXYes

Practice location

3301 Matlock Rd
Arlington, TX 76015-2908

Phone 682-509-6200

Mailing address

411 Springdale Dr Ne
Atlanta, GA 30305-3816

Phone 615-516-4488

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