Individual
MRS. CANDIE MARIE LARACUENTE NEGRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55E CALLE SALMON, PONCE, PR 00716-8112
(939) 413-8792
Mailing address
2749 CALLE PALMA DE LLUVIA, PONCE, PR 00728-1992
(873) 680-2417
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6500
PR
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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