Individual
ATTICUS FORGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 59TH AVE N, BROOKLYN CENTER, MN 55430-2614
(763) 561-2120
Mailing address
5910 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 55430-2322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
493529
MN
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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