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Individual

SUSAN BALLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
821 DUFFIELD CT, LOVELAND, CO 80537-5228
(970) 669-0345
Mailing address
1019 MILAN TERRACE DR, FORT COLLINS, CO 80525-6711
(970) 402-3259

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 0000933
CO

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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