Individual
AMANDA ROSE GRIMAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1492 W ANTELOPE DR. SUITE 100, LAYTON, UT 84041
(801) 825-8091
(801) 825-8142
Mailing address
1492 W ANTELOPE DR STE 100, LAYTON, UT 84041-1151
(801) 825-8091
(801) 825-8142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8042898-4104
UT
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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