Individual
MRS. JENISSE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1 DEMARET CT, MIDDLETOWN, DE 19709-9354
(917) 861-7263
Mailing address
1 DEMARET CT, MIDDLETOWN, DE 19709-9354
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
235Z00000X
Speech-Language Pathologist
Primary
O1-0012410
DE
Other
Enumeration date
03/18/2015
Last updated
09/10/2024
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