Individual
FELIX ANGEL SANTIAGO MIRANDA
Active
Individual
FELIX ANGEL SANTIAGO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009922283
CO
1041C0700X
Clinical Social Worker
Primary
14320
PR
Other
Enumeration date
03/11/2020
Last updated
01/26/2023
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