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Individual
MRS. SARAH BRANDT-DOUGLAS
Active
Individual
MRS. SARAH BRANDT-DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R029764-1
NY
104100000X
Social Worker
R0297641
NY
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020562201
UNIVERA
NY
01
—
000510025003
BCBS
NY
01
—
0051614690900
CIGNA
NY
05
—
01594678
—
NY
01
—
0404260300851
FIDELIS
NY
01
—
6207257
IHA
NY
01
—
6622
PIN
NY
01
—
7404799
VALUE OPTION
NY
Enumeration date
02/06/2007
Last updated
09/05/2019
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