Individual
NELA M FRAGOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
RR 1 BOX 12951, TOA ALTA, PR 00953
(787) 980-3660
Mailing address
RR 1 BOX 12951, TOA ALTA, PR 00953-8640
(787) 980-3660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11659
PR
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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