Individual
JENNI GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17301 LINDON DR, PARKER, CO 80134-7537
(970) 310-7009
Mailing address
17301 LINDON DR, PARKER, CO 80134-7537
(970) 310-7009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003023
CO
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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