Individual
KATHRYN L ENSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1045 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 493-6667
Mailing address
1120 ROBERTSON ST, FORT COLLINS, CO 80524-3923
(970) 371-5745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12122983
CO
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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