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Individual

MRS. MICHELLE MARIE MOJICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
CONDOMINIO QUINTA REAL, 10105 CALLE REY DAVID, TOA BAJA, PR 00949
(787) 613-8828
Mailing address
PO BOX 2781, BAYAMON, PR 00960-2781
(787) 613-8828

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9749
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9749
CLINICAL SOCIAL WORKER LICENCE
PR
Enumeration date
04/26/2019
Last updated
04/26/2019
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