Individual
CARLA VICTORIA LASSALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 CALLE SANTA EDUVIGIS # 1631, SAN JUAN, PR 00926-4228
(939) 437-0717
Mailing address
1631 CALLE SANTA EDUVIGIS # 1631, SAN JUAN, PR 00926-4228
(939) 437-0717
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
7810
PR
Other
Enumeration date
01/10/2024
Last updated
08/08/2024
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