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Individual
JADIE GAIL MALARK GRIMM
Active
Individual
JADIE GAIL MALARK GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528701
MN
235Z00000X
Speech-Language Pathologist
SP-2653
NV
235Z00000X
Speech-Language Pathologist
SP-2858
NV
Other
Enumeration date
12/08/2019
Last updated
09/17/2023
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