Individual
MISS DENISE P. MAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
9500 MONTGOMERY BLVD NE STE 215, ALBUQUERQUE, NM 87111-2579
(505) 247-4224
(505) 247-1772
Mailing address
10700 ACADEMY RD NE APT 1826, ALBUQUERQUE, NM 87111-7336
(505) 238-8688
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4923
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
NM
Enumeration date
10/31/2011
Last updated
10/31/2011
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