Individual
JESSICA BOZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 HILLRISE CT, LAS CRUCES, NM 88011-4764
(505) 459-5631
Mailing address
1002 HILLRISE CT, LAS CRUCES, NM 88011-4764
(505) 459-5631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5977
NM
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
06/18/2015
Last updated
07/22/2016
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