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Individual
MARIA DEL CARMEN PUENTE MEDINA
Active
Individual
MARIA DEL CARMEN PUENTE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW-2911
HI
1041C0700X
Clinical Social Worker
Primary
0904018765
VA
1041C0700X
Clinical Social Worker
6275C
AL
1041C0700X
Clinical Social Worker
LCSW-5274
HI
Other
Enumeration date
06/12/2017
Last updated
11/05/2025
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