Individual
SUSANNE CLAIRE LOCKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 OLD PECOS TRL, SANTA FE, NM 87505-4759
(505) 424-8777
Mailing address
2336 CAMINO DEL PRADO, SANTA FE, NM 87507-4882
(505) 471-1974
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
708
NM
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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