Individual
GEORGE MICHAEL MENDOZA ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
PASEOS DEL RIO CALLE ROSARIO #182, CAGUAS, PR 00725
(787) 934-1254
Mailing address
PASEOS DEL RIO CALLE ROSARIO #182, CAGUAS, PR 00725
(787) 934-1254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16006
PR
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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