Provider Information for 1184984361
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SARA LYNN IRWIN LMHP, PLADC
Other Names:Former Name:SARA LYNN SHAFFERSex: Female
NPI: 1184984361
Last Updated: 2013-03-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1184984361 | ||||||||||||
| Enumeration Date | 2012-05-22 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 13460 WALSH DR BOYS TOWN, NE 68010-7529 United States Phone: 402-498-3358 | Fax:402-498-3375 | ||||||||||||
| Primary Practice Address | 13460 WALSH DR BOYS TOWN, NE 68010-7529 United States Phone: 402-498-3358 | Fax:402-498-3375 | ||||||||||||
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