Individual
MRS. EMILY SUZANNE GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1501 THOMPSON ST, BLOOMER, WI 54724
(715) 568-2000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2103-154
WI
235Z00000X
Speech-Language Pathologist
8011
MN
Other
Enumeration date
03/14/2008
Last updated
01/25/2024
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