Individual
MS. ALICIA NICOLE FANUCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7180 E ORCHARD RD STE 103, CENTENNIAL, CO 80111-1725
(720) 306-8261
Mailing address
7180 E ORCHARD RD STE 103, CENTENNIAL, CO 80111-1725
(720) 306-8261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003690
CO
Other
Enumeration date
04/02/2020
Last updated
07/30/2020
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