Individual
MS. GWENN H. CHARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
8905 5TH ST NW, ALBUQUERQUE, NM 87114-1701
(505) 897-2025
Mailing address
8905 5TH ST NW, ALBUQUERQUE, NM 87114-1701
(505) 897-2025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
763
NM
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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