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Individual
AUDRA SANTOS
Active
Individual
AUDRA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT00119
RI
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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