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Individual

DR. MARLENE JISSELL BIRRIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
CARR. # 2 KM 86.4 EDIF. 193, PRIME REAL STATE, HATILLO, PR 00659
(787) 636-4051
(787) 816-1931
Mailing address
UNIVERSITY GARDENS ST. TEKA # F - 28, ARECIBO, PR 00612-7827
(787) 636-4051
(787) 816-1931

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003191
PR

Other

Enumeration date
01/08/2010
Last updated
01/08/2010
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