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Individual
SARAH J GUBBELS
Active
Individual
SARAH J GUBBELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4252
ND
1041C0700X
Clinical Social Worker
Primary
30072
MN
1041C0700X
Clinical Social Worker
4252
ND
1041C0700X
Clinical Social Worker
SWP-LCSW-LIC-4644
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043532252
BLUE CROSS/BLUE SHIELD OF ND
ND
05
—
19308
—
ND
05
—
74133
—
ND
Enumeration date
02/16/2010
Last updated
12/05/2021
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