Organization
MARIA C. SANTANA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA CARMEN SANTANA PHD (PSYCHOLOGIST)
(770) 925-7898
Entity
Organization
Contact information
Practice address
5440 LAWRENCEVILLE HWY, LILBURN, GA 30047
(770) 925-7898
(770) 925-7873
Mailing address
3315 FRANCINE DR, DECATUR, GA 30033
(404) 428-6084
(770) 925-7873
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003121
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
678580757D
—
GA
Enumeration date
01/27/2010
Last updated
01/27/2010
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