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Individual

MRS. DENISE ELAINE DESANTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1150 BERKSHIRE BLVD, SUITE 250, WYOMISSING, PA 19610
(610) 373-7005
(610) 373-8005
Mailing address
1150 BERKSHIRE BLVD, SUITE 250, WYOMISSING, PA 19610
(610) 373-7005
(610) 373-8005

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013406
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2726603000
MAGELLAN
01
50059755
CAP BC
Enumeration date
12/11/2006
Last updated
07/08/2007
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