Individual
AIDA L SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 733-6661
(413) 733-7841
Mailing address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 733-6661
(413) 733-7841
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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