NPI 1639674633

Mara San Nicolas, MSW

Practitioner Social Worker Maite, GU

Practice location

Address: 400 Route 8 STE 303, Maite, GU 96910-2003
Phone: (671) 475-0061
Mailing address: PO Box 907, Hagatna, GU 96932-0907

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LSW-2466 (HI)

Other Social Worker providers in Guam →

Registry record

NPI: 1639674633
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2018
Record last updated: 29 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.