Individual
MRS. MADELINE CLAVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
410 AVE HOSTOS SUITE 7, CENTRO SALUD MENTAL MAYAGUEZ, MAYAGUEZ, PR 00682-1522
(787) 833-3675
(787) 833-1371
Mailing address
410 AVE HOSTOS SUITE 7, CENTRO SALUD MENTAL MAYAGUEZ, MAYAGUEZ, PR 00682-1522
(787) 833-3675
(787) 833-1371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0323
PR
1041C0700X
Clinical Social Worker
19604
PR
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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