Individual
MARILU GIA WORLITZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5417 LEWIS CT NW, ALBUQUERQUE, NM 87114-4642
(505) 419-5248
Mailing address
5417 LEWIS CT NW, ALBUQUERQUE, NM 87114-4642
(505) 419-5248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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