Individual
JADE GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
6400 UPTOWN BLVD NE, SUITE 360W, ALBUQUERQUE, NM 87110-0704
(505) 855-9805
(505) 848-9468
Mailing address
6400 UPTOWN BLVD NE, SUITE 360W, ALBUQUERQUE, NM 87110
(505) 855-9805
(505) 848-9468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5991
NM
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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