NPI | 1316964067 |
---|---|
Professional Name | DENISE MARIE FRAGOZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00719) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00146) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2009-11-12 |