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Individual

KATHRYN LAINE BUCZEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6970 S HOLLY CIR, CENTENNIAL, CO 80112-6296
(720) 287-4185
Mailing address
1151 IVY FARM WAY, AMELIA, OH 45102-1250
(513) 368-2341

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.0000493
CO

Other

Enumeration date
05/22/2019
Last updated
05/22/2019
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