Individual
KATLYN ANN GRAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 E BASELINE RD, #1512, GILBERT, AZ 85234-9101
(480) 818-4212
Mailing address
1415 N COUNTRY CLUB DR, APT 3066, MESA, AZ 85201-2546
(661) 414-6074
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
9601
AZ
Other
Enumeration date
08/15/2015
Last updated
08/15/2015
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