Individual
MISS JULIET MARIE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCCSLP
Contact information
Practice address
900 CENTRAL, BAYARD, NM 88023
(505) 537-4000
(505) 537-3921
Mailing address
1855 APACHE HILLS DR NW, DEMING, NM 88030
(505) 544-4024
(505) 537-3921
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3376
NM
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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