Individual
SUZANNE WINSLOW-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8 HAPPY HOLW, TIJERAS, NM 87059-7468
(505) 281-8112
(505) 281-8113
Mailing address
8 HAPPY HOLW, TIJERAS, NM 87059-7468
(505) 281-8112
(505) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
661
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D4273
—
NM
Enumeration date
01/08/2007
Last updated
07/09/2007
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