Individual
SARAH SHADDY-FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
419 6TH STREET, JUNEAU, AK 99801-1020
(907) 463-6136
Mailing address
2229 GREAT WESTERN STREET, DOUGLAS, AK 99824
(907) 463-6136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080075
AK
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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