Individual
CLARIBEL POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7092 HARR AVE BLDG 6492, FORT CARSON, CO 80902-2190
(719) 524-5218
Mailing address
7092 HARR AVE BLDG 6492, FORT CARSON, CO 80902-2190
(719) 524-5218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003213
CO
Other
Enumeration date
01/27/2017
Last updated
04/24/2024
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