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Individual
MR. WILLIAM A SACKETT
Active
Individual
MR. WILLIAM A SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01825
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01825
LICENSE
IA
Enumeration date
03/14/2013
Last updated
03/14/2013
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