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Individual

CAROLYN K FONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPA

Contact information

Practice address
3401 QUEBEC ST, SUITE 3600, DENVER, CO 80207-2322
(303) 432-8487
Mailing address
8897 35TH AVE, DENVER, CO 80238-3413
(303) 868-5573

Taxonomy

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

Other

Enumeration date
12/29/2010
Last updated
12/29/2010
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