Organization
ADAMS CAMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAECI SHA VICKERY M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(765) 748-6558
Entity
Organization
Contact information
Practice address
6007 W 61ST PL, ARVADA, CO 80003-5001
(765) 748-6558
Mailing address
6007 W 61ST PL, ARVADA, CO 80003-5001
(765) 748-6558
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
SLP.0002081
CO
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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