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Individual

AMY T GRULKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
2248 N ALMA SCHOOL RD STE 102, CHANDLER, AZ 85224-2488
(480) 935-0614
Mailing address
2322 W STOTTLER DR, CHANDLER, AZ 85224-2524
(480) 247-9693

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5749
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
412169
AZ
Enumeration date
01/03/2008
Last updated
02/25/2021
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