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Individual
SARAH B MATTERN
Active
Individual
SARAH B MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, BCBA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016455
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12139989
CAQH
—
01
—
CW016455
STATE LICENSE
PA
Enumeration date
04/10/2009
Last updated
09/27/2022
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