Individual
ANN KENNY-SANTORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6900 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-8007
(678) 910-7435
Mailing address
1848 SE 1ST AVE, FORT LAUDERDALE, FL 33316-2875
(954) 885-9500
(954) 885-9444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW002350
GA
1041C0700X
Clinical Social Worker
Primary
SW12118
FL
171000000X
Military Health Care Provider
CSW002350
GA
Other
Enumeration date
04/28/2014
Last updated
08/13/2021
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