Individual
MARIGLORY ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12 AVE ALEJANDRINO, URB. VILLA CLEMENTINA, GUAYNABO, PR 00969-4712
(787) 690-9040
Mailing address
COND. COLINA REAL, AVE. FELISA R. DE GAUTIER, APT 301, SAN JUAN, PR 00926
(787) 690-9040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2147
PR
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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