Individual
MOLLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 VILLA DR, ARTESIA, NM 88210-1644
(575) 746-2777
(575) 746-2278
Mailing address
1911 VILLA DR, ARTESIA, NM 88210-1644
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5247
NM
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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