Individual
MRS. LESLIE DUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
1106 W QUAY AVE, ARTESIA, NM 88210-1826
(505) 746-2777
Mailing address
1106 W QUAY AVE, ARTESIA, NM 88210-1826
(505) 746-2777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
905
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J4405
—
NM
Enumeration date
01/16/2007
Last updated
07/09/2007
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