Individual
MR. PANISILVAM SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
105 S MARSHALL ST, BOONE, IA 50036-4899
(515) 432-7983
(515) 432-7657
Mailing address
105 S MARSHALL ST, BOONE, IA 50036-4899
(515) 432-7983
(515) 432-7657
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000290
IA
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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