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Individual
MARITA KERSHAW
Active
Individual
MARITA KERSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0904013983
VA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
0904013983
VA
Other
Enumeration date
04/04/2018
Last updated
05/16/2024
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