Individual
SOUNDRA KAY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M HS CCC-SLP
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 325-2511
Mailing address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 325-2511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2869
NM
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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