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Organization
KRISTA SANTOS, LCSW LLC
Active
Organization
KRISTA SANTOS, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTA D SANTOS LCSW (OWNER)
(908) 425-0103
Entity
Organization
Contact information
Practice address
1 FRANKLIN AVE, NUTLEY, NJ 07110-3202
(973) 667-6074
Mailing address
38 LAKE SHORE DR, ROCKAWAY, NJ 07866-1409
(908) 425-0103
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
44SC05759600
NJ
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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