Individual
ESTRELLA C. APOLONIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
13 MORA VALLEY CLINIC RD., MORA, NM 87732-0209
(575) 387-2201
(575) 387-9006
Mailing address
PO BOX 209, MORA, NM 87732-0209
(575) 387-2201
(575) 387-9006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07117
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048504
—
NM
Enumeration date
01/15/2008
Last updated
02/06/2013
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