Individual
STEPHANIE GRAUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4811 HARDWARE DR NE, ALBUQUERQUE, NM 87109-2017
(505) 268-5933
(505) 268-0184
Mailing address
5727 KLONDIKE ST NE, ALBUQUERQUE, NM 87111-5931
(505) 463-9328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
115172
TX
235Z00000X
Speech-Language Pathologist
Primary
30003288
NC
Other
Enumeration date
05/22/2014
Last updated
08/19/2024
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