Individual
AMY NICOLE VALLEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
615 RUSSELL STREET, WALSENBURG, CO 81089-2127
(719) 695-7300
Mailing address
212 SPROULL AVE, WALSENBURG, CO 81089-1338
(719) 989-0726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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