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Individual

IRADA SALABARRIA-PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
HC 2 BOX 9801, JUNCOS, PR 00777-9650
(787) 348-2112
Mailing address
HC 2 BOX 9801, JUNCOS, PR 00777-9650

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3707
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3707
SOCIAL WORK LICENSE
PR
Enumeration date
08/10/2015
Last updated
08/10/2015
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