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Individual
JUSTIN ARIK GRIPENTROG
Active
Individual
JUSTIN ARIK GRIPENTROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101010022
MI
235Z00000X
Speech-Language Pathologist
LL60952352
WA
235Z00000X
Speech-Language Pathologist
SLP.0003909
CO
235Z00000X
Speech-Language Pathologist
SP01756
RI
Other
Enumeration date
04/19/2019
Last updated
09/22/2026
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