Individual
GRETCHEN STICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 MARBLE, EDWARDS, CO 81632-7702
(612) 600-5552
Mailing address
34 MARBLE, EDWARDS, CO 81632-7702
(612) 600-5552
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00257
AK
Other
Enumeration date
07/17/2016
Last updated
07/17/2016
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