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Individual

MAGDI E CANDELARIA REYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
CARR. 651 KM 2.4, SECTOR JUNCO, ARECIBO, PR 00612
(787) 370-1209
Mailing address
PO BOX 957, BAJADERO, PR 00616-0957
(787) 370-1209

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6975
PR
103TC1900X
Counseling Psychologist
6975
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LICENCIA
6975
PR
Enumeration date
09/14/2023
Last updated
01/13/2025
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