Individual
ANGELA PAOLA SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
PO BOX 12251, JACKSON, WY 83002-2251
(850) 339-2778
Mailing address
PO BOX 12251, JACKSON, WY 83002-2251
(850) 339-2778
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242003695
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242003695
IL SLP LICENSE
IL
Enumeration date
11/20/2015
Last updated
09/23/2024
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