Organization
THE RESOURCE EXCHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER KAY BOGDANOWITZ (SLPA)
(719) 375-5301
Entity
Organization
Contact information
Practice address
7914 CAMPGROUND DR, FOUNTAIN, CO 80817-4511
(719) 375-5301
Mailing address
7914 CAMPGROUND DR, FOUNTAIN, CO 80817-4511
(719) 375-5301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0481396
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0481396
STATE SLPA LICENSE
CO
Enumeration date
02/24/2011
Last updated
02/24/2011
Update your record
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