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Individual
MRS. AUDREY N GRABER
Active
Individual
MRS. AUDREY N GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
235Z00000X
Speech-Language Pathologist
Primary
2850
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184145073
—
KS
Enumeration date
06/13/2008
Last updated
05/16/2019
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