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Individual

MS. SARITA RENEE COLVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1601 5TH AVE N STE 166, BIRMINGHAM, AL 35203-1924
(205) 463-1943
(205) 392-8447
Mailing address
1601 5TH AVE N STE 166, BIRMINGHAM, AL 35203-1924
(205) 463-1943
(205) 392-8447

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
2011027085
MO
1041C0700X
Clinical Social Worker
14857
SC
1041C0700X
Clinical Social Worker
Primary
4075C
AL
1041C0700X
Clinical Social Worker
LSW0000008086
TN

Other

Enumeration date
07/21/2014
Last updated
02/24/2024
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