Individual
MRS. THERESA PEARL LOPEZ-WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
1001 S DIAMOND AVE, DEMING, NM 88030-4710
(505) 546-0427
Mailing address
6870 ALHAMBRA CT, LAS CRUCES, NM 88007-8952
(505) 644-2704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1698
NM
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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