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LISALINDA SALAS NATIVIDAD MSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1689872129

Individual Registrant:
 LISALINDA SALAS NATIVIDAD MSW
Gender: F
Sole Proprietor

Location and contact information for practice:
222 E CHALAN SANTO PAPA STE 102 REFLECTION CENTER HAGATNA, GU 96910-5172 US
Tel: 671-477-5715  Fax: 671-477-5714

Contact information for business:
PO BOX 22945 GUAM MAIN FACILITY BARRIGADA, GU 96921-2945 US
Tel: 671-477-5715  Fax: --

Registration Information:
NPI: 1689872129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
HILCSW-3166
X106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
GUIMF-000069

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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