Individual
MRS. SARAH LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1990 LOUISVILLE RD STE 107, BOWLING GREEN, KY 42101-1202
(270) 904-0055
(270) 904-5110
Mailing address
PO BOX 481, BOWLING GREEN, KY 42102-0481
(270) 904-0055
(270) 904-5110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252472
KY
1041C0700X
Clinical Social Worker
6991
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100580430
—
KY
Enumeration date
11/14/2014
Last updated
04/01/2020
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