# MS. SARITA RENEE COLVIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336556570
- **Gender:** F
- **Credential:** LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 2011027085 | MO | — |
| 1041C0700X | Clinical Social Worker | 14857 | SC | — |
| 1041C0700X | Clinical Social Worker | 4075C | AL | Yes |
| 1041C0700X | Clinical Social Worker | LSW0000008086 | TN | — |

## Other

- **Enumeration date:** 07/21/2014
- **Last updated:** 02/24/2024