ELLIE CAROLINE MOON

FRUITA, CO
NPI1467891861
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CO  SLP.0003431)
Enumeration Date2013-06-19
Last Update Date2019-10-28
Business Address
ELLIE CAROLINE MOON CFY-SLP
551 KOKOPELLI BLVD UNIT E
FRUITA, CO 81521
Phone number: 970-858-2526
Mailing Address
ELLIE CAROLINE MOON CFY-SLP
PO BOX 130
FRUITA, CO 81521-0130
Phone number: 970-858-3900
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