Individual
MARILYNN MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1551 CALLE VICTORIA, SAN JUAN, PR 00912-3123
(787) 722-9595
Mailing address
10 RES HATO GRANDE APT 51, SAN LORENZO, PR 00754-4110
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3262
PR
Other
Enumeration date
08/06/2017
Last updated
08/06/2017
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