Organization
KID CREW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY RICKS M.S., CCC-SLP (SOLE PROPRIETOR)
(303) 330-6411
Entity
Organization
Contact information
Practice address
1150 MAXWELL AVE, BOULDER, CO 80304-4185
(303) 330-6411
Mailing address
1205 8TH ST, GOLDEN, CO 80401-1089
(303) 330-6411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12091959
—
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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