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Individual

DORIAN SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
935 GARFIELD AVE, JERSEY CITY, NJ 07304-2731
(201) 478-5800
Mailing address
935 GARFIELD AVE, JERSEY CITY, NJ 07304-2731
(201) 390-4199

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05823400
NJ

Other

Enumeration date
06/06/2021
Last updated
06/14/2021
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