Individual
IVONE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2420 ASHFORD DR, CLOVIS, NM 88101-4470
(575) 935-1177
Mailing address
2420 ASHFORD DR, CLOVIS, NM 88101-4470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6484
NM
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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