Individual
CARLOS SAN INOCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 54TH ST, WEST PALM BEACH, FL 33407-2436
(772) 617-1717
Mailing address
4001 MAPLE AVE STE 600, DALLAS, TX 75219-3241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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