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Individual
SARA SOUTHERN
Active
Individual
SARA SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3814C
AL
Other
Enumeration date
10/04/2016
Last updated
07/28/2021
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