Provider Information for 1659581346
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Mr. JAMES A. DISANTIS MSW,LCSW
Sex: Male
NPI: 1659581346
Last Updated: 2012-07-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1659581346 | ||||||||
| Enumeration Date | 2007-05-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 712 SOUTH AVE PITTSBURGH, PA 15221-2940 United States Phone: 412-243-3400 | Fax:412-731-2684 | ||||||||
| Primary Practice Address | 712 SOUTH AVE PITTSBURGH, PA 15221-2940 United States Phone: 412-243-3400 | Fax:412-731-2684 | ||||||||
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