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Individual
SANDRA WALSH DEVINE
Active
Individual
SANDRA WALSH DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS 11548
CA
1041C0700X
Clinical Social Worker
Primary
LCS11548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS11548
BOARD OF BEHAV SCIENCE
CA
Enumeration date
09/02/2006
Last updated
01/27/2016
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