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Individual

ANA IRIS DE LOS SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
121 REA AVE, HAWTHORNE, NJ 07506
(201) 523-4048
Mailing address
4000 W FORT LEE RD APT 4116, BOGOTA, NJ 07603-1560

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC06301500
NJ

Other

Enumeration date
09/15/2020
Last updated
01/22/2024
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