Individual
LOURDENISSE PAGAN COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPSY
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
007043
PR
Other
Enumeration date
08/13/2021
Last updated
10/22/2024
Update your record
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