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Individual
SANDRA SANTA BARBARA GONCALVES
Active
Individual
SANDRA SANTA BARBARA GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LCP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
0810004521
VA
Other
Enumeration date
09/14/2007
Last updated
01/11/2012
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