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Individual

NATALIE DOS SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RCSWI

Contact information

Practice address
4422 E COLUMBUS DR, TAMPA, FL 33605-3233
(813) 384-4203
(813) 984-6729
Mailing address
24601 PORTOFINO DR, LUTZ, FL 33559-7404
(813) 451-6593

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10255
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060650200
FL
Enumeration date
06/16/2016
Last updated
06/16/2016
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