Most Relevant Information
Provider Data
| NPI Number: | 1003246232 |
| Provider Name: | LISANDRA SAN MIGUEL |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/25/2013 |
| Last Updated: | 11/25/2013 |
Provider Practice Location
87 ELLIOT ST APT 2A
SPRINGFIELD
MA
011051745
Practice Location Phone/Fax
| Phone: | 4132141644 |
| Fax: |
Provider Mailing Location
87 ELLIOT ST APT 2A
SPRINGFIELD
MA
011051745
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |