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Individual

ANA LUISA DESANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3245 GROVE AVE STE 201, BERWYN, IL 60402
(708) 428-2998
Mailing address
3245 GROVE AVE STE 201, BERWYN, IL 60402-3475
(708) 428-2998

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140.019942
IL

Other

Enumeration date
04/04/2018
Last updated
07/30/2019
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