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Individual

JORGE ANTONIO LA CRUZ RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3KN18 VIA 66, CAROLINA, PR 00983-4637
(787) 619-1032
Mailing address
3KN18 VIA 66, CAROLINA, PR 00983-4637
(787) 619-1032

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
005472
PR

Other

Enumeration date
02/25/2021
Last updated
02/25/2021
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