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Individual
MS. SARAH LOUISE DEBOIS
Active
Individual
MS. SARAH LOUISE DEBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03220623501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03220623500001
BLUE CROSS
UT
01
—
107004148101
U006 - INTRMTN HEALTH CAR
UT
01
—
683602
DESERET MUTUAL
UT
01
—
9429383488006
U009 - CHAMPUS
UT
01
—
942938348SAF
EDUCATORS MUTUAL
UT
Enumeration date
01/27/2006
Last updated
08/08/2012
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