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Individual

MS. C. SUZANNE DIGGS-MUNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
400 WEST FIRST STREET, DEXTER, NM 88230-0159
(505) 734-5434
(505) 734-5424
Mailing address
100 E ALAMEDA ST, 301 SOUTH MAIN STREET, ROSWELL, NM 88203-6105
(505) 624-3276

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3160
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09100218
ASHA CERTIFIED MEMBER
NM
01
248417
NMDEPARTMENT OF ED.
NM
05
G2756
NM
Enumeration date
02/09/2007
Last updated
02/21/2008
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