# MS. SARA E WIEDERHOLT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770761447
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3691 | ND | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 247200000X | Other Technician | — | NULL | — |

## Other

- **Enumeration date:** 02/05/2008
- **Last updated:** 01/09/2026