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Individual

MAUREEN RUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5520 N FORK CT, BOULDER, CO 80301-3548
(303) 817-5055
Mailing address
5520 N FORK CT, BOULDER, CO 80301-3548
(303) 817-5055

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003904
CO

Other

Enumeration date
03/17/2020
Last updated
03/17/2020
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