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Individual

MARIA APPENZELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC, SLP

Contact information

Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 557-5005
(719) 557-4663
Mailing address
DEPT 1188, DENVER, CO 80291-1188
(303) 486-5504
(303) 486-5502

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
817
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
817-NM
LICENSE
NM
Enumeration date
06/05/2007
Last updated
06/18/2009
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