Individual
MRS. EDIE JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-SLP-CCC
Contact information
Practice address
515 LODGEPOLE CIR, PARACHUTE, CO 81635-9572
(970) 285-0384
Mailing address
515 LODGEPOLE CIR, PARACHUTE, CO 81635-9572
(970) 285-0384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CO
Other
Enumeration date
06/11/2011
Last updated
06/11/2011
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