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Individual

VICTORIA S. SMIDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
4811 A HARDWARE DRIVE NE, ENCHANTMENT SPEECH LANGUAGE PATHOLOGY SERVICES, ALBUQUERQUE, NM 87109-2021
(505) 263-6004
Mailing address
16 JUNIPER HILL RD NE, ALBUQUERQUE, NM 87122-1911
(505) 263-6004

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1696
NM

Other

Enumeration date
11/07/2006
Last updated
10/12/2012
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