Individual
SEREENA RAE THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
10320 COTTONWOOD PARK NW STE A, ALBUQUERQUE, NM 87114-7008
(505) 345-4450
Mailing address
4639 HOLIDAY BREEZE PL NE, ALBUQUERQUE, NM 87111-2658
(575) 640-0788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7491
NM
Other
Enumeration date
12/17/2018
Last updated
09/26/2024
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