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Individual

ANN E. GRUNDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
1550 LAKELAND AVE, LAKEWOOD, OH 44107-3817
(216) 577-5183
Mailing address
1550 LAKELAND AVE, LAKEWOOD, OH 44107-3817

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4030
OH

Other

Enumeration date
02/08/2014
Last updated
02/08/2014
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