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Individual
SARA VANDENBURG
Active
Individual
SARA VANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-S
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103723
TX
1041C0700X
Clinical Social Worker
5399-0
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41830196
DRIVER'S LICENSE
TX
Enumeration date
11/10/2021
Last updated
11/05/2025
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