Individual
AMBER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3200 MISSION ARCH DR, ROSWELL, NM 88201-8307
(575) 622-5328
Mailing address
PO BOX 464, FOLSOM, NM 88419-0464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4884
NM
Other
Enumeration date
05/02/2011
Last updated
01/21/2015
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