Individual
KRYSTLE MARIE MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MA
Contact information
Practice address
BO CANDELERO ABAJO, SECTOR ANICETO CRUZ CALLE JUSTINA DE LEON, HUMACAO, PR 00791
(787) 914-6065
Mailing address
HC 12 BOX 12875, HUMACAO, PR 00791-7422
(787) 914-6065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14407
PR
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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