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Individual
KAITLIN A DISANTI
Active
Individual
KAITLIN A DISANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC, PEL
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
34741
IL
1041C0700X
Clinical Social Worker
Primary
149.024542
IL
1041S0200X
School Social Worker
1151888
IL
Other
Enumeration date
06/06/2022
Last updated
12/13/2022
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