Individual
MRS. EDDA MARIA BLANCO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2060 COLINA ST, URB VALLE ALTO, PONCE, PR 00730-4139
(787) 217-9244
Mailing address
G 3 HUCAR ST, URB ESTANCIAS DEL GUAYABAL, JUANA DIAZ, PR 00795-9702
(787) 217-9244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10897
PR
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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