Individual
NICOLE LYNN GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, EDS
Contact information
Practice address
11051 N CUT RD, ROSCOMMON, MI 48653-9332
(989) 390-9609
Mailing address
11051 N CUT RD, ROSCOMMON, MI 48653-9332
(989) 275-9528
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002921
MI
Other
Enumeration date
07/10/2026
Last updated
07/27/2026
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