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Individual

MRS. KAYLA JOY LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4490
Mailing address
PO BOX 19000, CLOVIS, NM 88102-9000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
382990
NM
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/07/2017
Last updated
01/31/2020
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