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Organization

CLINICA PSICOLOGICA LAS MIRLAS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GABRIELA ENID LUCIANO PSYD (DIRECTOR)
(787) 673-8394
Entity
Organization

Contact information

Practice address
64 CALLE SAN MIGUEL, GUANICA, PR 00653-2809
(787) 673-8394
Mailing address
PO BOX 939, ENSENADA, PR 00647-0939
(787) 673-8394

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
06/13/2019
Last updated
04/30/2024
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