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Individual
SARAH GRACE STANGEBYE
Active
Individual
SARAH GRACE STANGEBYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001030
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09925404
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACD.0001030
DORA
CO
01
—
CSW.09925404
DORA
CO
Enumeration date
03/16/2016
Last updated
04/26/2022
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