Individual
YAIRA LARACUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 JARDINES DEL CARIBE, GG56, PONCE, PR 00731-2612
(939) 500-0043
Mailing address
36 JARDINES DEL CARIBE, GG56, PONCE, PR 00731-2612
(939) 500-0043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16362
PR
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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