Individual
JILL MARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6230 E STATE HIGHWAY 86, FRANKTOWN, CO 80116-9050
(303) 817-6531
Mailing address
6230 E STATE HIGHWAY 86, FRANKTOWN, CO 80116-9050
(303) 817-6531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0003673
CO
235Z00000X
Speech-Language Pathologist
1124685
IL
Other
Enumeration date
11/09/2017
Last updated
12/04/2019
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