Individual
AUTUMN LAYLA GRUENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 OAK ST, OMAK, WA 98841
(509) 826-2380
Mailing address
PO BOX 177, OMAK, WA 98841-0177
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP61031187
WA
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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