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Individual
SANDRA LA REE MOTE
Active
Individual
SANDRA LA REE MOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CS ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
589
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023607
CIGNA
NH
05
—
3074048
—
NH
01
—
4009533YONH01
BCBS
NH
01
—
7135879
AETNA
—
Enumeration date
04/04/2006
Last updated
02/01/2016
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