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Individual

AUDREY SUSAN SERAZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
134 W MAIN ST STE 12, TRINIDAD, CO 81082-2600
(719) 846-4061
(719) 846-4073
Mailing address
134 W. MAIN STE 12, TRINIDAD, CO 81082
(719) 846-4061
(719) 846-4073

Taxonomy

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

Other

Enumeration date
01/13/2012
Last updated
01/13/2012
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