Provider Information for 1023387305
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Mrs. SARAH ELIZABETH ANDERSON M.S.W.
Sex: Female
NPI: 1023387305
Last Updated: 2024-09-04
Certification Date: 2024-09-04
Certification Date: 2024-09-04
Details
Name | Value | ||||||||||||
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NPI | 1023387305 | ||||||||||||
Enumeration Date | 2011-12-15 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 306 WEST 5TH AVENUE P.O. BOX 966 NOME, AK 99762 United States Phone: 907-443-4525 | Fax:907-443-2085 | ||||||||||||
Primary Practice Address | 306 WEST 5TH AVE. NOME, AK 99762 United States Phone: 907-443-4525 | Fax:907-443-2085 | ||||||||||||
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