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Individual
SARA J PAOLINI
Active
Individual
SARA J PAOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
072647
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02994838
GRP MEDICAID
NY
01
—
1235184235
GRP NPI
—
01
—
BA1047
GRP MEDICARE
—
Enumeration date
10/20/2011
Last updated
10/21/2011
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