Individual
JANET LOUISE DECLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
388 EAGLE CREST RD., EDWARDS, CO 81632-0345
(970) 390-4180
Mailing address
PO BOX 345, EDWARDS, CO 81632-0345
(970) 390-4180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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