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Individual

SARAH ELIZABETH VINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, PPS

Contact information

Practice address
1851 HARTMAN LN, PETALUMA, CA 94954-2535
(707) 762-0202
Mailing address
724 LIBERTY RD UNIT A, PETALUMA, CA 94952-1014

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CA

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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