Individual
KASI HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
249 WHITE MOUNTAIN DR, MESCALERO, NM 88340-9622
(505) 464-4431
(505) 464-4822
Mailing address
249 WHITE MOUNTAIN DR, MESCALERO, NM 88340-9622
(505) 464-4431
(505) 464-4822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3825
NM
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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