Individual
MISS KATHRYN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2911 N ELM AVE, ROSWELL, NM 88201-7712
(402) 719-4010
Mailing address
2911 N ELM AVE, ROSWELL, NM 88201-7712
(402) 719-4010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-6058
NM
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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