Individual
MARY ELAINE PETRUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7923 E MAPLE AVE, DENVER, CO 80230-6710
(720) 382-8249
Mailing address
7923 E MAPLE AVE, DENVER, CO 80230-6710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00669499
—
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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