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Individual

KATHLEEN GRACE COLLINS CARRASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
18551 E 160TH AVE, BRIGHTON, CO 80601-8519
(720) 299-3318
Mailing address
18551 E 160TH AVE, BRIGHTON, CO 80601-8519
(720) 299-3318

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12011697
CO
235Z00000X
Speech-Language Pathologist
225272
CO

Other

Enumeration date
12/01/2009
Last updated
01/25/2024
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