Individual
OLGA MARIA MORALES DEYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
ALTURAS MONTE BRISAS, FAJARDO, PR 00738-3917
(939) 268-1617
Mailing address
ALTS MONTE BRISAS D7, FAJARDO, PR 00738-0103
(939) 268-1617
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
19521
PR
1041C0700X
Clinical Social Worker
Primary
16628
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6265231
LISCENSE
PR
Enumeration date
01/04/2023
Last updated
10/03/2023
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