Individual
MAYRA ELIZABETH SANTAMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1250 W WASHINGTON ST, TEMPE, AZ 85288-1697
(669) 599-6036
Mailing address
1250 W WASHINGTON ST, TEMPE, AZ 85288-1697
(669) 599-6036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
104758
CA
1041C0700X
Clinical Social Worker
Primary
LCSW-21231
AZ
Other
Enumeration date
02/13/2012
Last updated
06/20/2024
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