Individual
DIANNETTE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
HC 4 BOX 4354, HUMACAO, PR 00791
(787) 715-1260
(787) 715-3621
Mailing address
HC 4 BOX 4354, HUMACAO, PR 00791-8922
(787) 715-1260
(787) 715-3621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11533
PR
1041C0700X
Clinical Social Worker
11533
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11533
CLINICAL SOCIAL WORK
PR
Enumeration date
09/21/2016
Last updated
07/10/2018
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