Individual
LYNN MARIE GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4239 FARNAM ST, OMAHA, NE 68131-2868
(402) 551-7338
Mailing address
13808 CHARLES ST, OMAHA, NE 68154-3882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1125
NE
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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