Individual
MELISSA J LARRAGOITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
808 MONROE ST NE, ALBUQUERQUE, NM 87110-6314
(505) 262-0244
Mailing address
808 MONROE ST NE, ALBUQUERQUE, NM 87110-6314
(505) 262-0244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2570
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00067525
—
NM
Enumeration date
12/04/2006
Last updated
07/08/2007
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