Individual
KATHLEEN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 CENTER STREET, MORIARTY, NM 87035-2000
(505) 832-5817
(505) 832-5918
Mailing address
PO BOX 2000, MORIARTY, NM 87035-2000
(505) 832-5817
(505) 832-5918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2490
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78897
—
NM
Enumeration date
04/26/2007
Last updated
07/08/2007
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