Individual
MRS. IRENE ANNE HARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
100 FRANKLIN, GRADY, NM 88120
(505) 357-2192
(505) 357-2000
Mailing address
PO BOX 71, GRADY, NM 88120
(505) 357-2192
(505) 357-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1481
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000L1825
—
NM
01
—
1481
NM DEPT OF ED SPEECH LANG
NM
Enumeration date
11/27/2006
Last updated
07/08/2007
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