Individual
STACY V MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1681 HICKORY LOOP, LAS CRUCES, NM 88005-6502
(575) 652-3155
(575) 652-4104
Mailing address
301 PERKINS DR, STE B, LAS CRUCES, NM 88005-3248
(575) 647-3773
(575) 647-3777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5331
NM
Other
Enumeration date
07/04/2013
Last updated
07/04/2013
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