Individual
MRS. MARLYS I KIEHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA., CCC-SLP
Contact information
Practice address
1115 N. CALIFORNIA ST, SOCORRO, NM 87801
(575) 313-3643
Mailing address
PO BOX 84, LEMITAR, NM 87823-0084
(575) 313-3643
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4542
NM
Other
Enumeration date
08/06/2009
Last updated
07/29/2013
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