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1639648108
NYDIA RAQUEL AVITIA
EL PASO, TX
NPI
1639648108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 54996)
Enumeration Date
2018-11-14
Last Update Date
2018-11-14
Business Address
NYDIA RAQUEL AVITIA LCSW
5001 N PIEDRAS ST
EL PASO, TX 79930-4210
Phone number: 915-564-6100
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Mailing Address
NYDIA RAQUEL AVITIA LCSW
10216 MONTWOOD DR
EL PASO, TX 79925-6303
Phone number: 915-258-4230
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