Individual
MARYORIE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
184 CALLE GUADALUPE, PONCE, PR 00730-3561
(787) 753-9515
(787) 753-8327
Mailing address
11 AVE LIBORIO LOPEZ, SABANA GRANDE, PR 00637-2036
(787) 215-3653
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5616
PR
104100000X
Social Worker
8903
PR
Other
Enumeration date
05/09/2008
Last updated
07/10/2014
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