Individual
MICHELLE VIENNA FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
124 FALCON LN, LYONS, CO 80540-4212
(661) 885-5086
Mailing address
124 FALCON LN, LYONS, CO 80540-4212
(661) 885-5086
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
200125649
CA
103TS0200X
School Psychologist
24386867
CO
Other
Enumeration date
12/06/2021
Last updated
12/12/2021
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