Individual
MS. JENNIE S. DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4712
(505) 727-9209
Mailing address
1400 CHILDERS DR NE, ALBUQUERQUE, NM 87112-5140
(505) 292-2463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
578
NM
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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