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Individual

KRISTEN GRIEGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
409 N CALIFORNIA ST, SOCORRO, NM 87801-4208
(505) 907-1902
(833) 448-2997
Mailing address
119 MUSTANG DR, SOCORRO, NM 87801-4451
(575) 518-8815

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF6772
NM
235Z00000X
Speech-Language Pathologist
SLP7046

Other

Enumeration date
10/28/2019
Last updated
06/24/2024
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