Individual
GWYNETH S SPROULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-9342
(505) 272-4906
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-9342
(505) 272-4906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4660
NM
Other
Enumeration date
06/27/2011
Last updated
02/14/2013
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