Individual
KEISHLA ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
60 AVE WINSTON CHURCHILL APT 2106, SAN JUAN, PR 00926-6715
(787) 510-9395
Mailing address
60 AVE WINSTON CHURCHILL APT 2106, SAN JUAN, PR 00926-6715
(787) 510-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15470
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5001575
DRIVER LICENSE
PR
Enumeration date
05/06/2022
Last updated
05/17/2022
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