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Individual

MARGARET FELLABAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
695 S COLORADO BLVD STE 20, DENVER, CO 80246-8010
(303) 360-0727
Mailing address
2620 FORUM BLVD STE E, COLUMBIA, MO 65203-5454
(573) 614-0114

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BACB482887
MO
225X00000X
Occupational Therapist
Primary
OT.0007601
CO

Other

Enumeration date
02/27/2020
Last updated
10/06/2022
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