Individual
MS. SUSAN SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
11124 MALAGUENA LN NE, ALBUQUERQUE, NM 87111-6861
(505) 323-1592
(505) 323-1592
Mailing address
11124 MALAGUENA LN NE, ALBUQUERQUE, NM 87111-6861
(505) 323-1592
(505) 323-1592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1079
NM
Other
Enumeration date
07/18/2008
Last updated
06/23/2009
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