Individual
MRS. KELLY SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1275
(508) 995-6400
Mailing address
400 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1275
(508) 995-6400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
222469
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222469
LCSW
MA
Enumeration date
03/15/2019
Last updated
03/15/2019
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