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Provider Information for 1922879444


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MERCEDES MARQUEZ LCSW


Sex: Female

NPI: 1922879444
Last Updated: 2024-01-12
Certification Date: 2024-01-12

Details

NameValue
NPI1922879444
Enumeration Date2024-01-12
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 12210 MONTWOOD DR STE 103
PMB 1005
EL PASO, TX 79928-1785
United States

Phone: 915-667-8559 | Fax:
 
Primary Practice Address 12210 MONTWOOD DR STE 103
PMB 1005
EL PASO, TX 79928-1785
United States

Phone: 915-667-8559 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalTX61071