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Individual

MRS. ANNE KATHRYN OVERSTREET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCCSLP

Contact information

Practice address
4950 LARKSPUR ST, BOW MAR, CO 80123-1547
(720) 987-5477
Mailing address
19434 E. LASALLE PLACE, AURORA, CO 80013-7701
(720) 810-5988

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0506001
CO
235Z00000X
Speech-Language Pathologist
12105054
CO

Other

Enumeration date
07/16/2012
Last updated
07/16/2012
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