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Charlene Marie Christianson, M.S. CCC-SLP

Speech-Language Pathologist, in Longmont, CO. Individual provider (NPI-1).

NPI number1104984053
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1104984053
Entity type
Individual (NPI-1)
Name
Charlene Marie Christianson
Credential
M.S. CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 4, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,12086516COYes

Practice location

4529 Portofino Dr
Longmont, CO 80503-4153

Phone 303-596-4113 · Fax 303-651-6422

Mailing address

4529 Portofino Dr
Longmont, CO 80503-4153

Phone 303-596-4113 · Fax 303-651-6422

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