Individual
GENEVIEVE NICOLE DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 FRONTIER ST, LONGMONT, CO 80501-2405
(210) 860-6822
Mailing address
1500 FRONTIER ST, LONGMONT, CO 80501-2405
(210) 860-6822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0005144
CO
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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