Individual
SARAH L. GERDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R, LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
057211-1
NY
1041C0700X
Clinical Social Worker
Primary
0890074344
VT
Other
Enumeration date
10/24/2005
Last updated
05/31/2012
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