Individual
DESTINEE RENAE GABALDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5823
Mailing address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5823
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14281
AZ
235Z00000X
Speech-Language Pathologist
SLPA6936
NM
Other
Enumeration date
10/08/2019
Last updated
11/25/2024
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