Maryann Fagrelius, M.A. CCC-SP
NPI #1578612198 in Farmington, New Mexico
Provider Information
- NPI Number
- 1578612198
- Entity Type
- Individual
- Name
- Maryann Fagrelius, M.A. CCC-SP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A. CCC-SP
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2001 S HIDDEN GLENN ST
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-5410
- Phone
- (505) 486-2360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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