Individual
GRACE LEVASSEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
611 KORTE PARKWAY, LONGMONT, CO 80501
(303) 776-1373
Mailing address
6699 SAVVY PL, FORT COLLINS, CO 80524-8828
(970) 396-4083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0002429
CO
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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