Individual
MARGARITA AVITIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7704 GOSHAWK AVE NW, ALBUQUERQUE, NM 87114-3577
(505) 934-5744
Mailing address
7704 GOSHAWK AVE NW, ALBUQUERQUE, NM 87114-3577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09804
NM
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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