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Individual

MS. ELIZABETH R SHAFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1400 W 21ST ST, CLOVIS, NM 88101-4153
(575) 764-4705
Mailing address
1400 W 21ST ST, CLOVIS, NM 88101-4153
(575) 762-4705

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4328
NM

Other

Enumeration date
09/09/2008
Last updated
12/22/2014
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