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Individual
SARA TORI DEFAZIO
Active
Individual
SARA TORI DEFAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LSW.0009924545
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09931368
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2021
Last updated
03/29/2025
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