Individual
MR. JACKSON CORBIN SANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5140 GOLF RD, SKOKIE, IL 60077-1206
(847) 676-0078
Mailing address
5140 GOLF RD, SKOKIE, IL 60077-1206
(847) 676-0078
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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