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Individual

KAETHE MARI RICHTER HENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
(505) 880-3700
Mailing address
4024 SIMMS AVE SE, ALBUQUERQUE, NM 87108-4373
(505) 615-9380

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
246Q00000X
Pathology Specialist/Technologist
NM

Other

Enumeration date
08/07/2018
Last updated
02/27/2025
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