Individual
MS. BLANCA IRIS SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 W 76TH ST, SUITE 2G, NEW YORK, NY 10023-8302
(646) 765-6349
Mailing address
1150 PELHAM PKWY S APT 2G, BRONX, NY 10461-1010
(646) 765-6349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R063076-1
NY
Other
Enumeration date
04/03/2007
Last updated
01/20/2009
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