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Individual
MR. KEVIN ALLAN STANSBURY
Active
Individual
MR. KEVIN ALLAN STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
90534
CA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
120528
CA
171M00000X
Case Manager/Care Coordinator
'NA'
CA
Other
Enumeration date
05/20/2014
Last updated
01/21/2024
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