Individual
MR. ALLIE LANCE HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CF-SLP
Contact information
Practice address
2513 CATTLE CALL DR, HOBBS, NM 88240-1670
(575) 942-0088
Mailing address
2513 CATTLE CALL DR, HOBBS, NM 88240-1670
(575) 942-0088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-6121
NM
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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