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Individual
TAD PIERRE SANTOS
Active
Individual
TAD PIERRE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABD, LPC, NCP
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004645
PA
103T00000X
Psychologist
02261
PA
Other
Enumeration date
09/08/2006
Last updated
07/13/2007
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