Individual
ANNA SANDBANK
Active
Individual
ANNA SANDBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355940
—
NY
01
—
075420
NYS LICENSE NUMBER
NY
01
—
1285628552
AGENCY NPI NUMBER
NY
Enumeration date
10/06/2006
Last updated
07/09/2007
Update your record
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