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Individual
MRS. SONDRA SHANTEL GRAHAM
Active
Individual
MRS. SONDRA SHANTEL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004919
GA
1041C0700X
Clinical Social Worker
MSW003847
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSW003847
STATE LICENSE
GA
Enumeration date
06/15/2006
Last updated
05/22/2026
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