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Individual

ZAIMARY LICIAGA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
167 CALLE SAN JUSTO, QUEBRADILLAS, PR 00678-1739
(939) 585-2737
Mailing address
212 EXT LAMELA, QUEBRADILLAS, PR 00678-1722

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7557
PR

Other

Enumeration date
12/23/2022
Last updated
08/18/2025
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