MEDICARE: ADELINA L ARAUJO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	08110	TX

General Provider Information

NPI Number	:	1326157025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADELINA L ARAUJO LCSW

Provider Business Mailing Address
First Line	:	499 SAINT MATTHEWS ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-4214
Country	:	US
Telephone Number	:	915-872-8424
Fax Number	:	915-872-8425

Provider Business Practice Location Address
First Line	:	499 SAINT MATTHEWS ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-4214
Country	:	US
Telephone Number	:	915-872-8424
Fax Number	:	915-872-8425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	02/06/2008

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