Individual
KELLY JEANNE GRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5124 S HATCH DR, EVERGREEN, CO 80439-7261
(541) 408-6728
Mailing address
2856 EAGLE VIEW CT, EVERGREEN, CO 80439-8714
(541) 408-6728
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
354857
CO
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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