JESSICA ANNELIESE MACE

FOUNTAIN, CO
NPI1043702657
Former NameJESSICA ANNELIESE HUGO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: VA  2202011328)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: CO  0004416)
235Z00000X Speech-Language Pathologist,
(Licence: NC  13452)
Enumeration Date2018-05-31
Last Update Date2024-10-14
Business Address
JESSICA ANNELIESE MACE MS
901 N SANTA FE AVE
FOUNTAIN, CO 80817-1738
Phone number: 719-822-0550
Mailing Address
JESSICA ANNELIESE MACE MS
4629 SHEMIN CT APT C
COLORADO SPRINGS, CO 80902-1229
Phone number: 661-886-1023