Individual
SHELLY GRINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24648 463RD AVE, COLTON, SD 57018-5163
(605) 201-7948
Mailing address
24648 463RD AVE, COLTON, SD 57018-5163
(605) 201-7948
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014
SD
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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