Individual
CARLA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-SLP/CF
Contact information
Practice address
200 CENTER ST, MORIARTY, NM 87035
(505) 832-5817
Mailing address
PO BOX 2000, MORIARTY, NM 87035-2000
(505) 832-5817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4285
NM
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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