Individual
MRS. SARA MARIE WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-28204
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-28204
SOCIAL WORK LICENSE
ID
Enumeration date
03/04/2009
Last updated
03/04/2009
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