Individual
MS. NYDIA E PERDOMO-OLMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, ACSW
Contact information
Practice address
HC 3 BOX 20630, BO. DOMINGUITO, ARECIBO, PR 00612-8170
(787) 467-2204
Mailing address
HC 3 BOX 20630, BO. DOMINGUITO, ARECIBO, PR 00612-8170
(787) 467-2204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6143
PR
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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