Individual
MRS. TRACIE DOMENECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3540 S POPLAR ST STE 101, DENVER, CO 80237-1365
(303) 488-9999
Mailing address
5266 S ANDES CT, CENTENNIAL, CO 80015-4896
(720) 879-1612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
121
CO
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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