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Organization

KRIS SANTAMARIA, LCSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRIS SANTAMARIA LCSW (OWNER/CLINICIAN)
(434) 249-1304
Entity
Organization

Contact information

Practice address
315 WINDING RIVER LN, SUITE 201, CHARLOTTESVILLE, VA 22911-3568
(434) 249-1304
(434) 961-2556
Mailing address
1120 SNOWDEN DR, CHARLOTTESVILLE, VA 22901-1297
(434) 249-1304
(434) 961-2556

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004448
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821193384
INDIVIDUAL NPI
VA
Enumeration date
07/27/2011
Last updated
12/21/2015
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