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Autumn Layla Gruenwald
Speech-Language Assistant in Omak, Washington
NPI 1154945392

Autumn Layla Gruenwald is a Speech-Language Assistant based in Omak, WA and is specialized in Speech-Language Assistant. Autumn Layla Gruenwald practices in Omak, WA. The NPI Number for Autumn Layla Gruenwald is 1154945392 and holds a License No. SP61031187 (Washington).

The current practice location address for Autumn Layla Gruenwald is 615 Oak St, Omak, WA and can be reached out via phone at 509-826-2380.

Location: 615 Oak St, Omak, WA, 98841-0177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154945392
Provider Name
Autumn Layla Gruenwald
Credential
Provider Entity Type
Individual
Gender
Female
Address
615 Oak St, Omak, WA, 98841-0177
Phone Number
509-826-2380
Fax Number
Provider Enumeration Date
06/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
615 Oak St
City
Omak
State
Washington
Zip
98841
Phone Number
509-826-2380
Fax Number
person
Provider Business Mailing Address Details
Address
615 Oak St
City
Omak
State
Washington
Zip
98841
Phone Number
509-826-2380
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
SP61031187 (Washington)
Definition
Definition to come...
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