Individual
SARA ELAINE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1349 PECAN HILL RD, AXTELL, TX 76624-1518
(254) 229-6215
Mailing address
1349 PECAN HILL RD, AXTELL, TX 76624-1518
(254) 229-6215
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15999
TX
104100000X
Social Worker
Primary
105005
TX
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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