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Individual

STEPHANIE LEBSACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
14083 E TEMPLE DR APT 1312, AURORA, CO 80015-5625
(469) 540-8557
Mailing address
14083 E TEMPLE DR APT 1312, AURORA, CO 80015-5625
(469) 540-8557

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
105365
TX
235Z00000X
Speech-Language Pathologist
12714800-4102
UT
235Z00000X
Speech-Language Pathologist
Primary
6215
NM
235Z00000X
Speech-Language Pathologist
SLP.0004228
CO

Other

Enumeration date
06/20/2017
Last updated
04/19/2022
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