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Individual
MRS. SANDRA ANN CLEMENTS
Active
Individual
MRS. SANDRA ANN CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006567
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945166
—
VA
01
—
305005
ANTHEM
VA
01
—
O803343M
SENTARA
VA
Enumeration date
05/21/2007
Last updated
12/09/2025
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