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Individual

DIANNE E. GRUBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
100 ROWLAND WAY, SUITE 125, NOVATO, CA 94945-5011
(415) 209-2444
(415) 209-2461
Mailing address
100 ROWLAND WAY, SUITE 125, NOVATO, CA 94945-5011
(415) 209-2444
(415) 209-2461

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6405
CA

Other

Enumeration date
11/28/2007
Last updated
11/28/2007
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