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Individual

MRS. YESSENIA VELAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTL, MHC

Contact information

Practice address
ST. 111 ISAAC GONZALEZ Y LEDESMA, UTUADO, PR 00641
(787) 933-1120
Mailing address
PO BOX 659, VEGA ALTA, PR 00692-0659
(787) 562-1993

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2584
PR
225X00000X
Occupational Therapist
Primary
948
PR

Other

Enumeration date
07/10/2012
Last updated
07/10/2012
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