Individual
GARY SANTORELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
16102 E GLENPOINT DR, FOUNTAIN HILLS, AZ 85268-3115
(925) 518-6766
Mailing address
16102 E GLENPOINT DR, FOUNTAIN HILLS, AZ 85268-3115
(925) 518-6766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17326
CA
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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