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Individual

MARY SOLIE KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC, SLP

Contact information

Practice address
10286 RAVENCLAW DR, COLORADO SPRINGS, CO 80924-5321
(858) 688-9790
Mailing address
10286 RAVENCLAW DR, COLORADO SPRINGS, CO 80924-5321
(858) 688-9790

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0004086
CO
235Z00000X
Speech-Language Pathologist
7739
CA

Other

Enumeration date
01/20/2020
Last updated
04/26/2021
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