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Individual

MARILUZ ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SW,MCMHC

Contact information

Practice address
SANTANDER SECURITIES PLAZA HOSTOS #349, SUITE 104, MAYAGUEZ, PR 00680
(787) 265-2300
(787) 831-1714
Mailing address
VILLA SAN ANDRES # 349, SUITE 104, MAYAGUEZ, PR 00680-5704
(787) 265-2300
(787) 831-1714

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1858
PR
1041C0700X
Clinical Social Worker
Primary
8144
PR

Other

Enumeration date
03/19/2015
Last updated
03/19/2015
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