Individual
MS. MARY KATHLEEN ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFY-SLP
Contact information
Practice address
7395 W EASTMAN PL, LAKEWOOD, CO 80227-5006
(248) 909-0722
Mailing address
7395 W EASTMAN PL, LAKEWOOD, CO 80227-5006
(248) 909-0722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
02/24/2014
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