STACEY ENNIS

ROSWELL, NM
NPI1790180057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  C-5578)
Enumeration Date2014-10-29
Last Update Date2014-10-29
Business Address
-- STACEY ENNIS
300 N KENTUCKY AVE
ROSWELL, NM 88201-4636
Phone number: 575-627-2500
Mailing Address
-- STACEY ENNIS
300 N KENTUCKY AVE
ROSWELL, NM 88201-4636
Phone number:
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