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Individual

SANDRA LEE NORTHROP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LGSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
127903-121
WI
104100000X
Social Worker
2435G
AL
104100000X
Social Worker
Primary
X-06907
NM

Other

Enumeration date
02/23/2010
Last updated
05/12/2010
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