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Individual

JETTE ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SLP-CF

Contact information

Practice address
10900 SAN JACINTO AVE NE, ALBUQUERQUE, NM 87112-5414
(202) 298-5009
Mailing address
6400 UPTOWN BLVD NE STE 360, ALBUQUERQUE, NM 87110-4202

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF6392
NM

Other

Enumeration date
08/24/2018
Last updated
08/24/2018
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