Individual
MRS. ERICA SHAWN BOALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
1685 S 21ST ST, COLORADO SPRINGS, CO 80904-5123
(719) 329-1774
Mailing address
14220 TIMBEREDGE LN, COLORADO SPRINGS, CO 80921-2956
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09131120
CO
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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