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Individual

GINO MIGUEL MUNIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
CALLE ELISA TAVAREZ, HB-19, LEVITTOWN, PR 00949
(787) 479-7879
Mailing address
CALLE ELISA TAVAREZ, HB-19, TOA BAJA, PR 00949
(787) 479-7879

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3388
PR

Other

Enumeration date
06/23/2009
Last updated
06/23/2009
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