Individual
BRENNA FISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3876 HAWKINS ST NE, ALBUQUERQUE, NM 87109-4539
(505) 508-0865
Mailing address
1115 11TH ST NW, ALBUQUERQUE, NM 87104-2105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7681
NM
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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