Individual
JENNIFER FUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A CCC/SLP
Contact information
Practice address
3745 FULL MOON DR, FORT COLLINS, CO 80528-4421
(414) 477-7267
Mailing address
3745 FULL MOON DR, FORT COLLINS, CO 80528-4421
(414) 477-7267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
.0002197
CO
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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