SALLY ANNE VAN LANEN

RATON, NM
NPI1952366379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  3904)
Enumeration Date2006-04-19
Last Update Date2007-07-08
Business Address
-- SALLY ANNE VAN LANEN MSSLP
101 N 2ND ST
RATON, NM 87740-3803
Phone number: 505-445-7090
Mailing Address
-- SALLY ANNE VAN LANEN MSSLP
14100 COUNTY ROAD 67.3
TRINIDAD, CO 81082-9536
Phone number: 719-859-3145
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