Individual
JACQUELINE M COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HACIENDA LOS RECREOS CALLE JARANA D-10, GUAYAMA, PR 00784
(787) 941-4730
Mailing address
PO BOX 106, GUAYAMA, PR 00785-0106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15828
PR
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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