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Individual
SANDRA GORMON-BROWN
Active
Individual
SANDRA GORMON-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW00006666
WA
1041C0700X
Clinical Social Worker
Primary
LW60185885
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041796
—
WA
Enumeration date
03/10/2012
Last updated
04/30/2015
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