MRS. Susan Gayle Carlsen, MACCCSIP A
NPI #1619020823 in Farmington, New Mexico
Provider Information
- NPI Number
- 1619020823
- Entity Type
- Individual
- Name
- MRS. Susan Gayle Carlsen, MACCCSIP A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MACCCSIP A
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1605 CAMINO RIO
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-8043
- Phone
- (505) 320-6325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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