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Individual
MS. MARIE MARGULIES ELLIAS
Active
Individual
MS. MARIE MARGULIES ELLIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100768
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO2587
BC/BS
MA
Enumeration date
09/12/2007
Last updated
09/12/2007
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