Individual
BJ BRUBAKER BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 MOUNTAIN LION DR, REDSTONE, CO 81623-8203
(970) 963-0322
Mailing address
75 MOUNTAIN LION DR, REDSTONE, CO 81623-8203
(970) 963-0322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0000870
CO
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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