Individual
CARLA RAQUEL GARCIA BONHOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
COND THOMASVILLE PARK # II, APT 2308, CAROLINA, PR 00987-8801
(787) 960-2359
Mailing address
COND THOMASVILLE PARK # II, APT 2308, CAROLINA, PR 00987-8801
(787) 960-2359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13768
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4511997
DRIVER LICENCE
PR
Enumeration date
01/30/2016
Last updated
12/27/2017
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