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Organization

SHANNON SANTORO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON SANTORO (LICENSED PROFESSIONAL COUNSELOR)
(973) 271-8940
Entity
Organization

Contact information

Practice address
65 N MAPLE AVE, RIDGEWOOD, NJ 07450-3233
(973) 271-8940
Mailing address
101 SILVER FOX TRL, STOCKHOLM, NJ 07460-1233
(973) 271-8940

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/10/2012
Last updated
07/10/2012
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