Individual
MS. MICHELLE GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
4375 NAMBE ARC, LAS CRUCES, NM 88011-4236
(575) 312-2151
Mailing address
4375 NAMBE ARC, LAS CRUCES, NM 88011-4236
(575) 312-2151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4961
NM
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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