Individual
MARILYN NIOMIE FRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5065 MCNUTT RD, SANTA TERESA, NM 88008-9442
(915) 740-4894
Mailing address
4600 FAIRBANKS DR APT 1117, EL PASO, TX 79924-3746
(915) 740-4894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0415
TX
Other
Enumeration date
10/20/2025
Last updated
12/10/2025
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