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Individual

CIELITO MARIE DEROMOL SMOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15701 E 1ST AVE STE 206, AURORA, CO 80011-9038
(303) 344-8060
Mailing address
18230 E MEWS RD, QUEEN CREEK, AZ 85142-7349
(480) 202-3178

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
AZ
235Z00000X
Speech-Language Pathologist
Primary
24399506
CO

Other

Enumeration date
09/08/2015
Last updated
01/16/2024
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