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Individual

MONI A ORSILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
125 N PARKSIDE DR STE 204, COLORADO SPRINGS, CO 80909-6097
(719) 650-9947
Mailing address
2147 DENTON GRV APT 202, COLORADO SPRINGS, CO 80919-5109
(719) 650-9947

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12074445
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
62922572
CO
Enumeration date
12/14/2006
Last updated
11/29/2009
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