Individual
ANDY MONTAN SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-6156
Mailing address
279 DODGE ST, WARWICK, RI 02886-1909
(401) 678-9532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
RI
104100000X
Social Worker
Primary
CSW02366
RI
Other
Enumeration date
05/29/2019
Last updated
11/13/2019
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