SUSAN GRISSOM

LINO LAKES, MN
NPI1326479080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  251272)
Enumeration Date2013-12-06
Last Update Date2013-12-06
Business Address
-- SUSAN GRISSOM
6776 LAKE DRIVE ADVANCE THERAPY
LINO LAKES, MN 55014
Phone number: 651-498-2071
Mailing Address
-- SUSAN GRISSOM
13585 ELKWOOD DR
APPLE VALLEY, MN 55124-5232
Phone number: 952-451-4575
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