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Individual

JESSICA LYN NICOLE STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
830 TENDERFOOT HILL RD STE 100, COLORADO SPRINGS, CO 80906-7372
(719) 623-4500
Mailing address
PO BOX 7094, WOODLAND PARK, CO 80863-0094
(928) 243-3246

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA7743
AZ
235Z00000X
Speech-Language Pathologist
Primary
CO

Other

Enumeration date
06/12/2012
Last updated
04/02/2019
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