Individual
KATHRYN MCGLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17661 US 84/285, SANTA FE, NM 87506-2779
(505) 455-0555
Mailing address
17661 US 84/285, SANTA FE, NM 87506-2779
(505) 455-0555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0088221
NM
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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