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Individual

SARA NICOLE HESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
909 MORGANTOWN AVE, FAIRMONT, WV 26554-4335
(304) 366-5832
Mailing address
14 E GRAFTON RD STE C, FAIRMONT, WV 26554-4465
(681) 758-4750

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00946162
WV
171M00000X
Case Manager/Care Coordinator
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
12/09/2020
Last updated
10/12/2022
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