Individual
NELISSA SELINE GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1748 ANGUEISES, SAN JUAN, PR 00926
(787) 449-0112
Mailing address
1748 CALLE ANGUESIS, SAN JUAN, PR 00926-4911
(787) 499-0122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10460
PR
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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