| NPI | 1033532403 |
|---|---|
| Doing Business As | GRETCHEN STORM |
| Entity Type | Organization |
| Authorized Contact | GRETCHEN V STORM Speech Language Pathologist 269-330-1403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001641) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2024-12-03 |