Individual
MS. LEAH K GRUNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
511 E LEE AVE, SAPULPA, OK 74066-4308
(918) 224-3400
Mailing address
12610 S 12TH ST, JENKS, OK 74037-5085
(918) 637-5112
(918) 398-7983
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12148655
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548548472
—
OK
Enumeration date
07/26/2011
Last updated
11/09/2015
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