Individual
MARGIE G. MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1681 HICKORY LOOP, LAS CRUCES, NM 88005-6587
(575) 647-3773
(575) 647-3777
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 647-3773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5001
NM
Other
Enumeration date
11/17/2011
Last updated
12/27/2022
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