Individual
HARRIET JASSEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
97 ENCANTADO LOOP, SANTA FE, NM 87508-8278
(505) 690-4512
Mailing address
97 ENCANTADO LOOP, SANTA FE, NM 87508-8278
(505) 690-4512
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4498
NM
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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