Individual
LESLIE ELAINE SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15949 COUNTY ROAD 29.5, BRUSH, CO 80723-9639
(970) 768-3458
Mailing address
15949 COUNTY ROAD 29.5, BRUSH, CO 80723-9639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000512
CO
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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