Organization
MIGHTY MOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA DUGAS MA, CCC-SLP (OWNER)
(720) 933-7447
Entity
Organization
Contact information
Practice address
6086 S ALTON WAY, GREENWOOD VILLAGE, CO 80111-5223
(720) 933-7447
Mailing address
6086 S ALTON WAY, GREENWOOD VILLAGE, CO 80111-5223
(720) 933-7447
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01096989
CO
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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