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Individual

CHELSEY CONTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
1505 W KOENIG LN, AUSTIN, TX 78756
(512) 480-9573
(512) 458-9573
Mailing address
1505 W KOENIG LN, AUSTIN, TX 78756
(512) 480-9573
(512) 458-9573

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107279
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
419185001
TX
Enumeration date
08/20/2014
Last updated
08/31/2022
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