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Individual
SARAH SMITH
Active
Individual
SARAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2156
WV
101YP2500X
Professional Counselor
Primary
2156
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356748404
—
WV
01
—
46-4087059
INSURANCE
WV
Enumeration date
12/04/2014
Last updated
10/16/2019
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