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Individual

ALTAGRACIA SANTANA-PICHARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
32 HARBOR BAY CIR, LAURENCE HARBOR, NJ 08879-2924
(917) 673-1071
Mailing address
32 HARBOR BAY CIR, LAURENCE HARBOR, NJ 08879-2924
(917) 673-1071

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
077787
NY
1041C0700X
Clinical Social Worker
12252
SC
1041C0700X
Clinical Social Worker
14249
FL
1041C0700X
Clinical Social Worker
Primary
44SC05619500
NJ

Other

Enumeration date
02/26/2009
Last updated
04/12/2018
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