Individual
SUSANNE RACHEL BOYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
103 W GENESEO ST, LAFAYETTE, CO 80026-1631
(303) 619-1031
Mailing address
103 W GENESEO ST, LAFAYETTE, CO 80026-1631
(303) 619-1031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0447342
CO
Other
Enumeration date
11/24/2012
Last updated
11/24/2012
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