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Individual

JACLYN MICHELLE BRUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
4030 QUITMAN ST, DENVER, CO 80212-2164
(516) 318-8831
Mailing address
4030 QUITMAN ST, DENVER, CO 80212-2164
(516) 318-8831

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
019691
NY
235Z00000X
Speech-Language Pathologist
Primary
65465
CO

Other

Enumeration date
04/25/2011
Last updated
03/29/2021
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