Individual
MICHELLE MAXEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
201 CEDAR ST SE, SUITE 405, ALBUQUERQUE, NM 87106-4917
(505) 764-9535
(505) 842-5645
Mailing address
201 CEDAR ST SE, SUITE 405, ALBUQUERQUE, NM 87106-4917
(505) 764-9535
(505) 842-5645
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC2014-008
NM
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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