Organization
CLINICAL SOCIAL WORKER
Active
Other names
Clinical Social Worker
Organization subpart
No
Provider details
NPI number
Authorized official
YANIRIS ORTIZ GONZALEZ LICENSE # 9309 (SOCIAL WORKER)
(787) 248-4873
Entity
Organization
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 248-4873
Mailing address
PO BOX 545, FLORIDA, PR 00650-0545
(787) 248-4873
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9309
PR
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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