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FOUNTAIN, CO
NPI1598469165
Entity TypeOrganization
Authorized ContactTASHALA SIMPSON
Speech Language Pathologist/Owner
719-362-7565
Organization Subpart ?No
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Additional Taxonomies235Z00000X Speech-Language Pathologist,
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
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123 CHERRY CIR
FOUNTAIN, CO 80817-1902
Phone number: 719-470-1526
Mailing Address
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123 CHERRY CIR
FOUNTAIN, CO 80817-1902
Phone number: 719-470-1526