Individual
MISS LESLIE ENID BONILLA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
NO 2 CHARDON AVENUE 8574, SECOND FLOOR, HATO REY, PR 00936-8574
(787) 619-8787
Mailing address
PO BOX 108, SABANA SECA, PR 00952-0108
(787) 619-8787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8260
PR
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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