KELLY MACK

BOULDER, CO
NPI1578896460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  15946)
Enumeration Date2009-09-10
Last Update Date2011-08-06
Business Address
-- KELLY MACK SLP
2124 16TH ST
BOULDER, CO 80302-4354
Phone number: 530-230-7429
Mailing Address
-- KELLY MACK SLP
2124 16TH ST
BOULDER, CO 80302-4354
Phone number:
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