Individual
SHELBY D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31699 COUNTY ROAD 11, LAS ANIMAS, CO 81054-9443
(719) 688-3782
Mailing address
31699 COUNTY ROAD 11, LAS ANIMAS, CO 81054-9443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000767
CO
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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