Individual
MRS. JENNIFER KATHLEEN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1009 N MAIN ST, CLOVIS, NM 88101-5932
(575) 769-4490
Mailing address
PO BOX 19000, CLOVIS, NM 88102-9000
(575) 693-6193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
NM6732
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2017
Last updated
10/03/2023
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