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Individual
SANDRA LEGALLET
Active
Individual
SANDRA LEGALLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 18577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS 18577
PROFESSIONAL LICENSE #
CA
01
—
ZZZ91891Z
MEDICARE GROUP #
CA
01
—
ZZZ91892Z
MEDICARE GROUP #
CA
01
—
ZZZ92069Z
MEDICARE GROUP#
CA
Enumeration date
05/08/2007
Last updated
08/18/2008
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