Individual
ELIZABETH ANN BARRACLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 COPPER AVE NE, ALBUQUERQUE, NM 87108-1473
(505) 255-5099
Mailing address
5200 COPPER AVE NE, ALBUQUERQUE, NM 87108-1473
(505) 255-5099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4192
NM
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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