Doctor Name: | ROSA REYES-SANTANA |
NPI Number: | 1023470622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I 1502420 |
Business Practice Address: | 1910 Fairgrove Ave Ste B Hamilton, OH - 450111930 |
Business Phone Number: | 5138677080 |
Business Fax Number: | 5132414333 |
Mailing Address: | 1910 Fairgrove Ave Ste B, HAMILTON |
State: | OH |
Postal Code: | 450111930 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/22/2016 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I 1502420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |