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1679271415
SAMANTHA LEE SANTIAGO
JERSEY CITY, NJ
NPI
1679271415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NJ 37AC00702100)
Enumeration Date
2023-02-21
Last Update Date
2023-02-21
Business Address
SAMANTHA LEE SANTIAGO LAC
152 CENTRAL AVE
JERSEY CITY, NJ 07306-2119
Phone number: 201-885-2539
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Mailing Address
SAMANTHA LEE SANTIAGO LAC
152 CENTRAL AVE
JERSEY CITY, NJ 07306-2119
Phone number: 201-885-2539
Copy
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