Individual
CAILEY RENEE GRUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
21432 N 75TH AVE, GLENDALE, AZ 85308-5967
(507) 236-9359
Mailing address
21155 N 56TH ST APT 3115, PHOENIX, AZ 85054-5555
(507) 236-9359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10650
AZ
235Z00000X
Speech-Language Pathologist
9541
MN
Other
Enumeration date
09/12/2018
Last updated
02/16/2022
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