Individual
MACKENZIE LYN FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
1060 CERRILLOS RD, SANTA FE, NM 87505-1650
(505) 476-6300
Mailing address
1321 E POPLAR ST, DEMING, NM 88030-4807
(575) 546-5951
(575) 546-5994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF7179
NM
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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