Individual
MRS. SARAH DEAUN WALLING-GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-36683
ID
104100000X
Social Worker
LSW-35782
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-39491
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528504206
PRIVATE INSURANCE
ID
Enumeration date
01/18/2017
Last updated
10/30/2024
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