Individual
LAURIE BRETHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 WOOD DUCK CT, WINDSOR, CO 80550-6138
(970) 302-9082
Mailing address
230 WOOD DUCK CT, WINDSOR, CO 80550-6138
(970) 302-9082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001100
CO
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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