Individual
MIRACLE SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6028 SURETY DR, EL PASO, TX 79905-2018
(915) 544-3500
Mailing address
1505 BLACKFOOT, EL PASO, TX 79928-6019
(915) 255-6120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106602
TX
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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