Individual
MRS. MARCELLA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18 W WASHINGTON AVE, LOVINGTON, NM 88260-4023
(575) 739-2200
Mailing address
1313 S 6TH ST, LOVINGTON, NM 88260-5446
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SWB-2024-1277
NM
Other
Enumeration date
02/14/2019
Last updated
03/21/2025
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