Individual
DAMARIS SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3068 KENELM DR, CHESAPEAKE, VA 23323-2841
(973) 670-2265
Mailing address
3068 KENELM DR, CHESAPEAKE, VA 23323-2841
(973) 670-2265
(757) 493-5456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009366
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861562472
—
VA
Enumeration date
06/29/2016
Last updated
03/23/2021
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