Individual
KELLY E CAMP MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP MA CF
Contact information
Practice address
920 MOUNTAIN VIEW DR, LEADVILLE, CO 80461-3738
(719) 239-1046
Mailing address
920 MOUNTAIN VIEW DR, LEADVILLE, CO 80461-3738
(719) 239-1046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.0000335
CO
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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