Provider Information for 1104376870
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SARAH SWENSEN LCSW
Other Names:Professional Name:SARAH DARISH LCSWSex: Female
NPI: 1104376870
Last Updated: 2024-09-18
Certification Date: 2024-09-18
Certification Date: 2024-09-18
Details
| Name | Value | ||||||||||||||||
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| NPI | 1104376870 | ||||||||||||||||
| Enumeration Date | 2016-10-06 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 2400 WHITE AVE NASHVILLE, TN 37204-2235 United States Phone: | Fax: | ||||||||||||||||
| Primary Practice Address | 620 GALLATIN PIKE S MADISON, TN 37115-4013 United States Phone: 888-291-4357 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 1497 TIMBER RIDGE CIR 2400 WHITE AVE | ||||||||||||||||
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