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Individual

VICKI MCNOWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
6316 CONSTITUTION AVE NE, MARK TWAIN ES, ALBUQUERQUE, NM 87110-5944
(505) 255-8337
Mailing address
9500 MONTGOMERY NE, STE 215, ALBUQUERQUE, NM 87111-2579
(505) 247-4224
(505) 247-1772

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
253
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96172550
NM
Enumeration date
03/01/2007
Last updated
07/08/2015
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