Individual
SARA LYNN DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC, LCSW, ICGC-II
Contact information
Practice address
245 N METRO DR, APPLETON, WI 54913-8572
(920) 903-1009
(800) 791-3601
Mailing address
245 N METRO DR, APPLETON, WI 54913-8572
(920) 903-1009
(800) 791-3601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7854-123
WI
225A00000X
Music Therapist
05920
PA
225A00000X
Music Therapist
7854
WI
Other
Enumeration date
03/06/2007
Last updated
02/27/2023
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