Individual
MRS. DEBRA SUE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
300 N CAMBRIDGE, HAGERMAN SCHOOLS, HAGERMAN, NM 88232
(505) 752-3279
Mailing address
11 HUERTA CT, ROSWELL, ROSWELL, NM 88201
(505) 623-8171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1547
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69736
—
NM
Enumeration date
11/16/2006
Last updated
07/08/2007
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