Individual
MR. HAL AGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2003015888
MO
1041C0700X
Clinical Social Worker
2003015888
MO
1041C0700X
Clinical Social Worker
Primary
I-08163
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495730715
—
MO
Enumeration date
02/05/2007
Last updated
05/17/2013
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