Individual
MRS. DENISE RAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3028 CAMINO REAL, LAS CRUCES, NM 88001-7575
(575) 649-0185
Mailing address
3028 CAMINO REAL, LAS CRUCES, NM 88001-7575
(575) 649-0185
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
C4135
NM
235Z00000X
Speech-Language Pathologist
Primary
SLP4313
NM
Other
Enumeration date
07/02/2007
Last updated
03/26/2022
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