Individual
MARISOL SANTIAGO-SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
480 7TH AVE S, DEPT 7470, ST PETERSBURG, FL 33701-4839
(727) 767-4403
(727) 767-4715
Mailing address
4790 80TH TER, PINELLAS PARK, FL 33781-2423
(727) 545-3595
(727) 545-3595
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768038400
—
FL
Enumeration date
04/02/2007
Last updated
02/22/2011
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