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Individual

NICOLE BELANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
701 PRAIRIE HAWK DR, CASTLE ROCK, CO 80109-8001
(303) 387-0100
Mailing address
701 PRAIRIE HAWK DR, CASTLE ROCK, CO 80109-8001

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09144986
AHSA
Enumeration date
11/07/2013
Last updated
12/05/2023
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