Individual
JOE ANTHONY SANTOS
Active
Individual
JOE ANTHONY SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW,LCSW,DCSW,BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
01103
TX
1041C0700X
Clinical Social Worker
Primary
SW 20331
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751843
—
AZ
Enumeration date
07/20/2009
Last updated
03/14/2018
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