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Individual

ELIZABETH ANNE DIERSCHOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
451 S OTIS ST, LAKEWOOD, CO 80226-3443
(303) 725-6949
Mailing address
451 S OTIS ST, LAKEWOOD, CO 80226-3443
(303) 725-6949

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
09499
MD
235Z00000X
Speech-Language Pathologist
Primary
SLP.0005395
CO

Other

Enumeration date
05/26/2021
Last updated
11/23/2024
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