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Individual

GRACE ST DENIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS - SLP

Contact information

Practice address
277 SOUTH ST STE V, SAN LUIS OBISPO, CA 93401-5039
(805) 242-1617
Mailing address
277 SOUTH ST STE V, SAN LUIS OBISPO, CA 93401-5039

Taxonomy

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

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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