Individual
KELLEY JUNE WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 W RAY AVE, ARTESIA, NM 88210-2207
(575) 993-9598
Mailing address
1404 W RAY AVE, ARTESIA, NM 88210-2207
(575) 993-9598
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5348
NM
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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