Individual
IDIE COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
15016 VEREDA VERDE, URB LAS HACIENDAS, CANOVANAS, PR 00729-9622
(787) 422-9257
Mailing address
15016 VEREDA VERDE, URB LAS HACIENDAS, CANOVANAS, PR 00729-9622
(787) 422-9257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8854
PR
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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