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Organization

STACEY J. MCCONACHIE, PEDIATRIC SPEECH THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY J MCCONACHIE M.A. CCC-SLP (OWNER)
(218) 791-5286
Entity
Organization

Contact information

Practice address
11096 W 55TH LN, ARVADA, CO 80002-4906
(218) 791-5286
Mailing address
11096 W 55TH LN, ARVADA, CO 80002-4906

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
12094774

Other

Enumeration date
03/31/2009
Last updated
03/31/2009
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