Individual
LISBETH AZUAJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
124 CALLE AUGUSTO RODRIGUEZ, URB MONTICIELO, CAGUAS, PR 00725
(787) 648-3744
Mailing address
124 CALLE AUGUSTO RODRIGUEZ, URB. MONTICIELO, CAGUAS, PR 00725-2515
(787) 648-3744
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4073
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4781702
DRIVER LICENCE
PR
Enumeration date
05/05/2017
Last updated
05/05/2017
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