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Individual
MS. SHERVONNE BANKS
Active
Individual
MS. SHERVONNE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSG
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SC61177195
WA
1041C0700X
Clinical Social Worker
Primary
0904014396
VA
1041C0700X
Clinical Social Worker
12104
CT
1041C0700X
Clinical Social Worker
121504
CT
305S00000X
Point of Service
112160
VA
Other
Enumeration date
10/26/2007
Last updated
12/10/2022
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