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Individual

SHELLEY HURST FONTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2525 S WADSWORTH BLVD STE 106, LAKEWOOD, CO 80227-3246
(720) 962-4555
Mailing address
2525 S WADSWORTH BLVD STE 106, LAKEWOOD, CO 80227-3246

Taxonomy

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

Other

Enumeration date
05/04/2023
Last updated
03/05/2024
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