Individual
HOPE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S AVE K, STATION 3, SHROC, PORTALES, NM 88130
(575) 562-4232
Mailing address
1500 S AVE K, STATION 3, SHROC, PORTALES, NM 88130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6857
NM
Other
Enumeration date
08/25/2017
Last updated
12/01/2023
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