Individual
CATHERINE C MARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
130 W MADRID AVE, LAS CRUCES, NM 88005-1704
(575) 222-1474
Mailing address
130 W MADRID AVE, LAS CRUCES, NM 88005-1704
(575) 222-1474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
840
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05877067
—
NM
Enumeration date
08/18/2013
Last updated
11/29/2016
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