Individual
STEPHANIE W KWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 S PACIFIC AVENUE, DENVER, CO 80205
(646) 831-1336
Mailing address
158 S PACIFIC AVENUE, DENVER, CO 80205
(646) 831-1336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112531
TX
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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