Antonio Lopes Dos Santos, CASE MANAGER

NPI #1588963334 in Midvale, Utah

Provider Information

NPI Number: 1588963334
Entity Type: Individual
Name: Antonio Lopes Dos Santos, CASE MANAGER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: CASE MANAGER
Enumeration Date: Mar 18, 2011
Last Updated: Mar 18, 2011

Practice Location

Address: 6877 WELL WOOD RD
Address 2: APT 27-A
City: Midvale
State: Utah
ZIP Code: 84047-4066
Phone: (801) 330-9799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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