Individual
MS. MICAH MAGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
FARMINGTON HIGH SCHOOL, 2200 N. SUNSET AVE, FARMINGTON, NM 87401
(505) 324-0352
Mailing address
3401 E 30TH ST SUITE A, FARMINGTON, NM 87402
(505) 599-8617
(855) 290-2205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12080455
CO
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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