Individual
MS. SANDRA KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
SAN JUAN BOARD OF COOPERATIVE EDUCATION SERVICES (BOCES, 701 CAMINO DEL RIO SUITE 221, DURANGO, CO 81301
(970) 247-3261
Mailing address
2611 EUBANK BLVD NE, AZTEC COMPLEX, ALBUQUERQUE, NM 87112-1312
(505) 298-6752
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24379959
CO
235Z00000X
Speech-Language Pathologist
948
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20789033
—
NM
Enumeration date
03/06/2007
Last updated
03/29/2024
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