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Individual

MARGARITA N ELIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 281-1550
(520) 281-4487
Mailing address
825 N GRAND AVE, STE 100, NOGALES, AZ 85621-2385
(520) 761-2133
(520) 761-2157

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17009
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
385441
AZ
01
LCSW-17009
ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
05/03/2018
Last updated
05/26/2022
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