Mary Elizabeth Wall

NPI #1780826636 in Taos, New Mexico

Provider Information

NPI Number
1780826636
Entity Type
Individual
Name
Mary Elizabeth Wall
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Mar 24, 2009
Last Updated
Mar 24, 2009

Practice Location

Address
7 COYOTE COURT
Address 2
BOX 2290 RDT, NM 87557
City
Taos
ZIP Code
87571
Phone
(575) 758-5763

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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