Individual
PRISCILLA JOANNE MARTY IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
MAYAGUEZ MEDICAL CENTER, CARR #2, MAYAGUEZ, PR 00680
(787) 832-9737
Mailing address
PMB 102, PO BOX 5103, CABO ROJO, PR 00623
(787) 605-8310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14916
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14916
SOCIAL WORK PERMANENT LICENSE
PR
Enumeration date
07/05/2022
Last updated
07/05/2022
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