Individual
KERRY WORTHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4733
(505) 727-4744
Mailing address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4806
NM
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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