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Individual

BETHANY JANE MCCRACKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
805 WALTER ST SE, ALBUQUERQUE, NM 87102-4247
(505) 901-2572
Mailing address
805 WALTER ST SE, ALBUQUERQUE, NM 87102-4247
(505) 901-2572

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
10/21/2021
Last updated
10/21/2021
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