Individual
ANCIMELL OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
PORTAL DE LA REINA URBANIZATION, UNIT 242, SANTA ISABEL, PR 00757
(787) 202-9214
Mailing address
PO BOX 608, COAMO, PR 00769-0608
(787) 202-9214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20171
PR
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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