Individual
AUTUMN LEA MUCKENHIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2088 WOODPECKER LN, ELIZABETH, CO 80107-8558
(601) 493-6968
Mailing address
3261 CHAMPA ST, DENVER, CO 80205-2750
(630) 442-4119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0005417
CO
235Z00000X
Speech-Language Pathologist
31841
CA
Other
Enumeration date
07/12/2023
Last updated
07/25/2024
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