Individual
SARAH RANDOLPH HIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24 COUNTRY CLUB LANE, PINEDALE, WY 82941
(307) 367-2111
(307) 367-2166
Mailing address
PO BOX 856, PINEDALE, WY 82941-0856
(307) 367-2111
(307) 367-2166
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW 276
WY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
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—
Other
Enumeration date
05/01/2008
Last updated
12/10/2015
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