Individual
MISS TERRI LYNN GRASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 N 3RD E, MOUNTAIN HOME, ID 83647-2734
(208) 587-8255
(208) 587-4475
Mailing address
2650 MADISON AVE, ABILENE, TX 79601-2029
(325) 660-1674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110166
TX
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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