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Individual
SARA WUBBEN
Active
Individual
SARA WUBBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
80027
CA
1041C0700X
Clinical Social Worker
L5849
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851675326
—
CA
Enumeration date
10/03/2011
Last updated
08/14/2024
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