Individual
MS. KIMBERLEE B GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
(763) 755-4261
Mailing address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
(763) 755-4261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8562
MN
Other
Enumeration date
08/09/2011
Last updated
09/07/2021
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