Individual
MISS MIREILLY DENISE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
00921 PR-21, SAN JUAN, PR 00921
(787) 766-4646
Mailing address
URB. LAS AMERICAS CALLE 2 PP8, BAYAMON, PR 00959
(787) 219-4656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15682
PR
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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