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IDALIZ NICOLE ENCARNACION LCSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1164271730
Provider Type
Individual Provider (NPI-1)
Credentials
LCSW
Status
Active

Contact & Location

Address
URB. MONTE BISAS 1, CALLE H, H-27, FAJARDO, PR, 00738
Phone
(939) 290-9797

Specialties & Taxonomies

Social Worker, Clinical Primary License: PR #14748

All Addresses

MAILING

URB. MONTE BISAS 1, CALLE H, H-27

FAJARDO, PR, 00738

(939) 290-9797

LOCATION

URB. MONTE BISAS 1, CALLE H, H-27

FAJARDO, PR, 00738

(939) 290-9797