Individual
GRACE SANTARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 WASHINGTON BLVD, ARLINGTON, VA 22204-5719
(703) 228-6061
Mailing address
2110 WASHINGTON BLVD, ARLINGTON, VA 22204-5719
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000974
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0813000974
—
VA
Enumeration date
08/27/2018
Last updated
08/27/2018
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