Individual
JOANNA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1232 MISSION NUEVO DR APT A, LAS CRUCES, NM 88011-7161
(916) 628-6127
Mailing address
1232 MISSION NUEVO DR APT A, LAS CRUCES, NM 88011-7161
(916) 628-6127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5718
NM
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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