Provider Demographics
NPI:1699463604
Name:SANTAFERRA, GIULIANA MARIA
Entity type:Individual
Prefix:
First Name:GIULIANA
Middle Name:MARIA
Last Name:SANTAFERRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 W 1ST ST STE 107
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-2726
Mailing Address - Country:US
Mailing Address - Phone:315-663-4793
Mailing Address - Fax:
Practice Address - Street 1:931 E SOUTHERN AVE STE 208
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-5043
Practice Address - Country:US
Practice Address - Phone:480-680-8776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-18267104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker