Individual
MRS. KELIN SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7176 SYDNOR LN, MECHANICSVILLE, VA 23111-5019
(646) 708-3159
Mailing address
7176 SYDNOR LN, MECHANICSVILLE, VA 23111-5019
(646) 708-3159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017485
VA
251S00000X
Community/Behavioral Health Agency
0904017485
VA
Other
Enumeration date
01/23/2024
Last updated
10/07/2024
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