Individual
ELISE NICOLE BRUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 CENTURY DRIVE, LOUISVILLE, CO 80027
(720) 507-3447
Mailing address
2797 WEWATTA WAY UNIT 3006, DENVER, CO 80216-3651
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
.0002188
CO
Other
Enumeration date
11/22/2017
Last updated
03/17/2018
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