Individual
MS. ERICA RENE GRUHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 HILLCREST ST, BONNE TERRE, MO 63628-1421
(573) 431-3300
Mailing address
712 WARREN ST, FARMINGTON, MO 63640-2621
(573) 631-2113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015010239
MO
Other
Enumeration date
05/29/2008
Last updated
05/12/2017
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