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Individual
SANDRA MWANSA CLOUGH
Active
Individual
SANDRA MWANSA CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
774680
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1124307
TX
Other
Enumeration date
05/29/2023
Last updated
06/12/2023
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