Individual
MRS. VANESSA JONES-DETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-3286
Mailing address
6920 MCMAHON ST APT B, FORT CARSON, CO 80902-7303
(541) 868-5090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001995
CO
Other
Enumeration date
12/10/2013
Last updated
05/19/2016
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