Individual
MRS. NANCY ALICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
126 W D ST, PUEBLO, CO 81003-3451
(719) 583-4296
Mailing address
4219 BLUEFLAX DR, PUEBLO, CO 81001-1103
(719) 543-1265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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