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Organization

CAROL I CHADWICK, MS,CCC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL I CHADWICK MS (OWNER)
(303) 659-4090
Entity
Organization

Contact information

Practice address
1606 PRAIRIE CENTER PKWY STE 120, BRIGHTON, CO 80601-4004
(303) 659-4090
(720) 685-9114
Mailing address
4465 NE COUNTY LINE RD, ERIE, CO 80516-6906
(303) 659-4090

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00033738
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04012506
CO
Enumeration date
09/25/2007
Last updated
09/25/2007
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