Individual
YOLIANN RIVERA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
CAFETAL SHOPP CTR, CALLE 13 I 135, YAUCO, PR 00698-3469
(787) 602-9843
Mailing address
CAFETAL SHOPP CTR, CALLE 13 I-135, YAUCO, PR 00698-3469
(787) 602-9843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4794605
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4794605
LICENCIA CONDUCIR
PR
Enumeration date
09/17/2012
Last updated
09/17/2012
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