Individual
CALEB EFRAIN NUNEZ MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CLINIC SOCIAL WORKER
Contact information
Practice address
120 MAPLE ST STE 304, SPRINGFIELD, MA 01103-2216
(413) 540-1234
Mailing address
PO BOX 1724, CIDRA, PR 00739-1724
(939) 400-1065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
14692
PR
Other
Enumeration date
08/20/2021
Last updated
12/04/2024
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