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Individual

KAILA DESANTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
30 N MAIN AVE, ALBANY, NY 12203-1410
(518) 453-6749
Mailing address
50 MARION BLVD, SCOTIA, NY 12302-2602
(518) 364-6115

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
094776-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497850671
NY
Enumeration date
07/06/2015
Last updated
07/06/2015
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