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Individual
SHAHANA N GARNER
Active
Individual
SHAHANA N GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005579
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945115
—
VA
01
—
331732
TRICARE
VA
01
—
386618
ANTHEM
VA
05
—
386618
—
VA
01
—
O87096M
SOUTHERN HEALTH
VA
05
—
O87096M
—
VA
Enumeration date
04/12/2006
Last updated
02/26/2019
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