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1760558373
CHANTELLE BROCKWELL
FOUNTAIN, CO
NPI
1760558373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO 12034960)
Enumeration Date
2006-11-27
Last Update Date
2007-07-08
Business Address
Mrs. CHANTELLE BROCKWELL M.Ed., CCC-SLP
830 HAYLOFT LN
FOUNTAIN, CO 80817-4180
Phone number: 719-382-8571
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Mailing Address
Mrs. CHANTELLE BROCKWELL M.Ed., CCC-SLP
830 HAYLOFT LN
FOUNTAIN, CO 80817-4180
Phone number: 719-382-8571
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