Individual
JOSE V JIMENEZ TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16122
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16122
—
PR
Enumeration date
02/06/2023
Last updated
08/11/2023
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