Individual
AEDEN SKYE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF SLP
Contact information
Practice address
1337 GUSDORF RD STE G, TAOS, NM 87571-6297
(575) 758-4337
Mailing address
PO BOX 163, ANGEL FIRE, NM 87710-0163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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