Individual
DEBORAH LAWAN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8121 RAINBOW BLVD NW, ALBUQUERQUE, NM 87114-6192
(505) 792-3262
Mailing address
8121 RAINBOW BLVD NW, ALBUQUERQUE, NM 87114-6192
(505) 792-3262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4910
NM
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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