Individual
FLORENCE SGRO BLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, IMFT
Contact information
Practice address
213 CHALAN SANTO PAPA, HAGATNA, GU 96910
(671) 989-7125
Mailing address
425 CHALAN SAN ANTONIO RD, PMB 103, TAMUNING, GU 96913
(671) 929-7125
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF-36
GU
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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