Individual
MISS IDRIS ANGELLICE SANTIAGO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
HC03BOX11447, PENUELAS, PR 00624-9513
(787) 590-4375
Mailing address
HC03BOX11447, PENUELAS, PR 00624-9513
(787) 590-4375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10002
PR
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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