Individual
GRACIE RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CFY-SLP
Contact information
Practice address
13213 W 21ST CT N STE 104, WICHITA, KS 67235-9625
(316) 573-6802
(316) 721-2291
Mailing address
13213 W 21ST CT N STE 104, WICHITA, KS 67235-9625
(316) 573-6802
(316) 721-2291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4126
KS
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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