Organization
ADELANTE CONTIGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA D BLANCO M.S., CCC-SLP (OWNER)
(505) 330-0329
Entity
Organization
Contact information
Practice address
1155 S TELSHOR BLVD STE 301, LAS CRUCES, NM 88011-4757
(505) 330-0329
Mailing address
2866 LAKE VALLEY AVE, LAS CRUCES, NM 88007-1906
(505) 330-0329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91174031
—
NM
Enumeration date
11/04/2022
Last updated
11/30/2022
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