Individual
KIM SUZANNE DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 OAKRIDGE DR UNIT 10, FORT COLLINS, CO 80525-9652
(970) 419-0486
(970) 221-5751
Mailing address
711 PETERSON ST, FORT COLLINS, CO 80524-3318
(970) 482-6114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00000690
CO
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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