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Individual

CAROL SANTUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1050 17TH ST NW, SUITE 1000, WASHINGTON, DC 20036-5512
(202) 255-5889
Mailing address
3900 TUNLAW RD NW, # 301, WASHINGTON, DC 20007-4807
(202) 248-8828

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10513
MD
1041C0700X
Clinical Social Worker
Primary
LC303300
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2129984
MAMSI
DC
01
355807
MHN
DC
05
406124101
MD
01
7260639
AETNA
DC
01
K0400001
CAREFIRST BCBS
DC
Enumeration date
09/26/2006
Last updated
05/05/2008
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