Individual
NICOLE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4686 CORRALES RD STE 1, CORRALES, NM 87048-8610
(505) 226-6060
(888) 496-1226
Mailing address
4686 CORRALES RD STE 1C, CORRALES, NM 87048-8658
(505) 620-0335
(505) 226-9154
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7272
NM
Other
Enumeration date
08/23/2019
Last updated
07/05/2022
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