Individual
MARY ELIZABETH HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3160 AGUA FRIA ST, SANTA FE, NM 87507-5402
(505) 467-1300
Mailing address
1002 OSAGE CIR, SANTA FE, NM 87505-3325
(505) 983-4160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1564
NM
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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