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Individual

MRS. ROSE INES MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
1420 CARLISLE BLVD NE # ST.201-E, ALBUQUERQUE, NM 87110-5660
(505) 255-6141
(505) 262-1903
Mailing address
4708 HANNETT AVE NE, ALBUQUERQUE, NM 87110-5016
(505) 268-5098
(505) 262-1903

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140
NM

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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