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Individual
SASHA KENDALL
Active
Individual
SASHA KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005506A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000861030
ANTHEM BCBS
IN
01
—
P01450026
RAILROAD MEDICARE
—
Enumeration date
11/24/2011
Last updated
02/03/2016
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