Individual
MRS. SARA JEAN MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
521 9TH ST NE, RIO RANCHO, NM 87124-2059
(505) 994-9709
Mailing address
521 9TH ST NE, RIO RANCHO, NM 87124-2059
(505) 994-9709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3869
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84258527
—
NM
Enumeration date
12/29/2006
Last updated
07/08/2007
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