Individual
ILIANA CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
(787) 641-4398
Mailing address
LUXEMBURGO L-3 VILLA CONTESSA, BAYAMON, PR 00956-2716
(787) 786-0938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4423
PR
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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