ALICIA ELLEN ROBERTS

PORTALES, NM
NPI1992105944
Former NameALICIA E WHITTINGTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: NM  5575)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: NM  5575)
Enumeration Date2014-08-27
Last Update Date2014-08-27
Business Address
-- ALICIA ELLEN ROBERTS
501 S ABILENE AVE
PORTALES, NM 88130-6380
Phone number: 575-359-3707
Mailing Address
-- ALICIA ELLEN ROBERTS
501 S ABILENE AVE
PORTALES, NM 88130-6380
Phone number: 575-359-3707