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1740375013
M SUE DE SANTO
LA JOLLA, CA
NPI
1740375013
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Former Name
SUE KALLEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149005709)
Enumeration Date
2006-10-04
Last Update Date
2024-04-30
Business Address
Ms. M SUE DE SANTO LCSW
7660 FAY AVE STE H-185
LA JOLLA, CA 92037-0021
Phone number: 312-213-2395
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Mailing Address
Ms. M SUE DE SANTO LCSW
7660 FAY AVE
LA JOLLA, CA 92037-0021
Phone number: 312-213-2395
Copy
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