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NPI Code Detail

MEDICARE: RUTH SANTIAGO LMSW

MEDICARE: RUTH SANTIAGO LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLMSW-20963AZ

General Provider Information

NPI Number : 1609708239
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH SANTIAGO LMSW
Provider Business Mailing Address
First Line : PO BOX 20216
Second Line :
City : PHOENIX
State : AZ
Zip : 85036-0216
Country : US
Telephone Number : 480-712-4600
Fax Number : 602-428-7045
Provider Business Practice Location Address
First Line : 337 E CORONADO RD STE 201
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-1583
Country : US
Telephone Number : 480-712-4600
Fax Number : 602-428-7045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ RUTH SANTIAGO LMSW” Practice Location

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