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Individual
SARAH ANN KITTINGER WALTER
Active
Individual
SARAH ANN KITTINGER WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#95-2633765
MEDI-CAL
CA
Enumeration date
05/09/2016
Last updated
11/29/2021
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