Individual
GRACE ROSE BRENNECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 LAKE DR STE 270, WEST DES MOINES, IA 50266-2504
(515) 225-6212
Mailing address
6800 LAKE DR STE 270, WEST DES MOINES, IA 50266-2504
(515) 225-6212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
124018
IA
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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