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Individual
MS. SAYRAH R GARRISON
Active
Individual
MS. SAYRAH R GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW 1683
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27BW8
MEDI-CAL
CA
01
—
41BW
MEDI-CAL
CA
01
—
H01061135
DRIVER LICENSE
HI
01
—
PRVNBR
MEDI-CAL
CA
Enumeration date
11/11/2010
Last updated
11/16/2010
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