MARY ELLEN AGOLIA

Dr MARY ELLEN AGOLIA is a female medical professional, specializing in Clinical Social Worker. She graduated in 2007.

Contact

1301 OREGON AVE
ALAMOGORDO
NM
883105710

Tel: 5754304115

MARY ELLEN AGOLIA Information

Npi 1598837841
Pac Id 4486753753
Professional Enrollment Id I20070627000361
Last Name AGOLIA
First Name MARY ELLEN
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1301 OREGON AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALAMOGORDO
State NM
Zip Code 883105710
Phone Number 5754304115
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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