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Individual

MRS. KATIE JANE SANTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2305 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2515
(267) 441-2542
Mailing address
121 NEW ST, 3C, PHILADELPHIA, PA 19106
(267) 441-2542

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW018220
PA
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/08/2008
Last updated
09/25/2014
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