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Individual

MRS. IDALISSE COLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
(787) 641-4398
Mailing address
URBANIZACION LOS ANGELES WJ13, C ALLE ALELI, CAROLINA, PR 00979
(787) 791-5675

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5914
PR

Other

Enumeration date
08/18/2006
Last updated
07/08/2007
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