Most Relevant Information
Provider Data
| NPI Number: | 1003401647 |
| Provider Name: | JENNIFER M SANTOS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCSW-18755 |
Most Important Dates
| Enumeration Date: | 03/05/2021 |
| Last Updated: | 03/05/2021 |
Provider Practice Location
1919 E THOMAS RD
PHOENIX
AZ
850167710
Practice Location Phone/Fax
| Phone: | 6029331900 |
| Fax: | 6029330818 |
Provider Mailing Location
3200 E CAMELBACK RD STE 250
PHOENIX
AZ
850182327
Provider Mailing Phone/Fax
| Phone: | 6029331814 |
| Fax: |