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Individual

MR. NEIL MANUEL SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 E STATE BLVD, FORT WAYNE, IN 46805-4728
(260) 426-5431
Mailing address
2316 ABBEY DR APT 7, FORT WAYNE, IN 46835-3140
(319) 360-9750

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.012394
IL

Other

Enumeration date
07/08/2020
Last updated
07/08/2020
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