Individual
MS. KATIA MORENO MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
CONSOLIDATED MALL B5, CAGUAS, PR 00726-9809
(787) 704-0705
(787) 744-7444
Mailing address
W22 CALLE LEALTAD, 4TA SECCION LEVITTOWN, TOA BAJA, PR 00949
(787) 704-0705
(787) 744-7444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26176
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23629
MSW
PR
Enumeration date
09/20/2018
Last updated
09/20/2018
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