Individual
PROF. MARTHA LUCIA CANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
LOIZA VALLEY SHOPPING CENTER, LOCAL AA-6, CANOVANAS, PR 00729
(787) 256-0273
(787) 876-7856
Mailing address
COND LAS VILLAS DE BAYAMON, AVENIDA 500 WEST MAIN, SUITE 176, BAYAMON, PR 00961-3871
(787) 269-3818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5984
PR
261QM0850X
Adult Mental Health Clinic/Center
5984
PR
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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