Individual
JOSE MANUEL SANTIAGO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 EASTERN AVE, MALDEN, MA 02148-5924
(781) 395-0457
Mailing address
95 SOUTH ST APT 3, LYNN, MA 01905-2841
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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