Individual
MS. ANNE MARIE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
101 NORTH SECOND ST, RATON, NM 87740
(505) 445-7090
Mailing address
PO BOX 1764, RATON, NM 87740
(505) 447-0399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2989
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46157549
—
NM
Enumeration date
07/31/2006
Last updated
07/08/2007
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