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Individual
KATHLEEN M DALSANTO
Active
Individual
KATHLEEN M DALSANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10757549
CAQH PROVIDER NUMBER
IL
Enumeration date
09/01/2006
Last updated
07/08/2007
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