Individual
SHAUNA FREDRICKS SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 BARNES ST, COLORADO SPRINGS, CO 80930-7017
(719) 359-2153
Mailing address
989 BEACON RD, ROCKLEDGE, FL 32955-3503
(321) 536-1845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
MSSLP.0000002
CO
235Z00000X
Speech-Language Pathologist
SA11464
FL
Other
Enumeration date
08/28/2012
Last updated
05/03/2023
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