Organization
CARLA TELLOR GRUNDY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA TELLOR GRUNDY SLP (SPEECH-LANGUAGE PATHOLOGIST)
(314) 452-4415
Entity
Organization
Contact information
Practice address
121 PARK RD, SAINT LOUIS, MO 63119-2528
(314) 452-4415
Mailing address
121 PARK RD, SAINT LOUIS, MO 63119-2528
(314) 452-4415
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2008022570
MO
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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