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Individual

LUIS ANGEL SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-0001
(413) 794-0000
Mailing address
741 PROSPECT ST, CHICOPEE, MA 01020-3004
(413) 885-0521

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
088535
NY

Other

Enumeration date
09/04/2013
Last updated
10/11/2022
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