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Provider Information for 1063135952


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Mrs. SANDRA KATHER DYE LICSW


Sex: Female

NPI: 1063135952
Last Updated: 2022-09-26
Certification Date: 2022-09-25

Details

NameValue
NPI1063135952
Enumeration Date2022-09-26
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1829 LAUREL RD
VESTAVIA HILLS, AL 35216-1403
United States

Phone: 423-220-9007 | Fax:
 
Primary Practice Address 1829 LAUREL RD
VESTAVIA HILLS, AL 35216-1403
United States

Phone: 423-220-9007 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)AL4108CThe State of Alabama Board of Social Work Examiners
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalAL4108C