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1528168515
BRUCE LUIS SANTIAGO
BOYNTON BEACH, FL
NPI
1528168515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH14036)
Enumeration Date
2006-09-22
Last Update Date
2022-07-21
Business Address
-- BRUCE LUIS SANTIAGO LMHC
2600 QUANTUM BLVD
BOYNTON BEACH, FL 33426-8627
Phone number: 561-865-5896
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Mailing Address
-- BRUCE LUIS SANTIAGO LMHC
11031 NE 6TH AVE
MIAMI, FL 33161-7182
Phone number: 305-398-6100
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