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Individual

BRIANNA GROTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
340 S 11TH ST, WARSAW, IL 62379-1431
(217) 256-4614
Mailing address
503 N FAYETTE ST, CARTHAGE, IL 62321-1021

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007172
IL

Other

Enumeration date
10/11/2023
Last updated
10/11/2023
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