Individual
MIA DAL SANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N OAK PARK AVE UNIT 2B, OAK PARK, IL 60301-1364
(219) 713-5569
Mailing address
616 E ELM ST, GRIFFITH, IN 46319-2734
(219) 713-5569
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
12/22/2025
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