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1518553171
EDSAIDA ORTIZ-SANTIAGO
BRADENTON, FL
NPI
1518553171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY10982)
Enumeration Date
2020-12-17
Last Update Date
2020-12-17
Business Address
EDSAIDA ORTIZ-SANTIAGO PSYD
379 6TH AVE W
BRADENTON, FL 34205-8820
Phone number: 941-782-4391
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Mailing Address
EDSAIDA ORTIZ-SANTIAGO PSYD
PO BOX 197515
NASHVILLE, TN 37219-7515
Phone number: 941-782-4391
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