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Individual

GLADYS PABON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY

Contact information

Practice address
B32 CALLE 5, VILLAS DE CASTRO, CAGUAS, PR 00725-4619
(787) 703-3701
(787) 703-3701
Mailing address
B32 CALLE 5, VILLAS DE CASTRO, CAGUAS, PR 00725-4619
(787) 703-3701
(787) 703-3701

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001051
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2252
IMC
PR
01
2300559
ACAA
PR
Enumeration date
04/04/2007
Last updated
07/08/2007
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