Individual
MS. REBECCA JO MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
637 ALTO ST, SANTA FE, NM 87501-2819
(970) 301-5036
Mailing address
637 ALTO ST, SANTA FE, NM 87501-2819
(970) 301-5036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NM
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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