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Individual

GRACE AMANDA DELANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
107 1ST ST NE, YELM, WA 98597
(360) 458-1900
Mailing address
1472 BUFORD RD, ALAMO, TN 38001-4447
(731) 426-4471

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5465
TN

Other

Enumeration date
05/20/2024
Last updated
03/03/2026
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