Individual
SARA SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
Mailing address
1316 SOMERVILLE RD SE STE 1, DECATUR, AL 35601-4309
(256) 260-7361
(256) 350-5664
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3814C
AL
Other
Enumeration date
10/04/2016
Last updated
07/28/2021
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