Individual
LORENA FUNDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
URBANIZACION VISTA AZUL CALLE 4 A54, ARECIBO, PR 00612
(787) 629-9972
(787) 846-2622
Mailing address
URB VISTA AZUL CALLE 4 A54, ARECIBO, PR 00612
(787) 629-9972
(787) 846-2622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10041
PR
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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