Individual
PIA C ENGLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFY
Contact information
Practice address
505 S MAIN ST, SUITE 249, LAS CRUCES, NM 88001-1206
(575) 527-5823
(575) 527-5886
Mailing address
505 S MAIN ST, SUITE 249, LAS CRUCES, NM 88001-1206
(575) 527-5823
(575) 527-5886
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
C4594
NM
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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