Individual
ELISABETH W DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1300 CAMINO SIERRA VIS # 125, SANTA FE, SANTA FE, NM 87505-1007
(505) 467-2504
Mailing address
PO BOX 31502, SANTA FE, NM 87594-1502
(214) 606-1167
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4132
NM
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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