Individual
MRS. JESSICA ELLEN DONNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
201 E 12TH ST, DURANGO, CO 81301-5206
(970) 247-5411
Mailing address
201 E 12TH ST, DURANGO, CO 81301-5206
(970) 247-5411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
330291
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73126837
—
NM
Enumeration date
10/01/2008
Last updated
08/17/2023
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