Individual
JOALYN DAWN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC SLP
Contact information
Practice address
940 FILLMORE ST, DENVER, CO 80206-3852
(303) 399-1800
Mailing address
11632 E ASBURY PL, AURORA, CO 80014-1102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0242153
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002892552
—
CO
Enumeration date
06/28/2007
Last updated
08/19/2016
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