Individual
MS. SHANNON MARIE POPPE GRABINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6345 EAGLE LAKE DR, MAPLE GROVE, MN 55369-6209
(612) 236-7369
Mailing address
6345 EAGLE LAKE DR, MAPLE GROVE, MN 55369-6209
(612) 236-7369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7381
MN
Other
Enumeration date
01/23/2008
Last updated
05/05/2010
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