Individual
AMANDA SANTAMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
31 JOHN CLARKE RD, MIDDLETOWN, RI 02842-5641
(401) 849-2300
(401) 841-8841
Mailing address
31 JOHN CLARKE RD, MIDDLETOWN, RI 02842-5641
(401) 849-2300
(401) 841-8841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01915
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
RI
Enumeration date
01/11/2017
Last updated
01/11/2017
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