Individual
MRS. MARY KAY CHESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.- CCC-SP
Contact information
Practice address
1217 FIR AVE, RIFLE, CO 81650-2105
(970) 625-5144
Mailing address
1217 FIR AVE, RIFLE, CO 81650-2105
(970) 625-5144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0444350
CO
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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