Individual
GASPAR K SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9005 N 29TH AVE STE 1, PHOENIX, AZ 85051-3465
(602) 354-8515
Mailing address
9005 N 29TH AVE STE 1, PHOENIX, AZ 85051-3465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-21823
AZ
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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