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Individual

MS. ABBY BROCK SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
3000 RIVERCHASE GALLERIA STE 500, HOOVER, AL 35244-2365
(205) 994-8811
(205) 994-8812
Mailing address
2650 WOODFERN CT, HOMEWOOD, AL 35209-1704
(205) 960-8772

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4274C
AL

Other

Enumeration date
04/01/2019
Last updated
04/01/2019
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