Provider Information for 1346484391
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SARA ROCHELLE DEVANEY LCSW
Sex: Female
NPI: 1346484391
Last Updated: 2021-12-17
Certification Date: 2021-12-17
Certification Date: 2021-12-17
Details
Name | Value | |||||||||||||||||||||
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NPI | 1346484391 | |||||||||||||||||||||
Enumeration Date | 2009-04-21 | |||||||||||||||||||||
NPI Type | NPI-1 Individual | |||||||||||||||||||||
Sole Proprietor | NO | |||||||||||||||||||||
Status | Active | |||||||||||||||||||||
Mailing Address | 1439 LAZY CREEK CT NE KEIZER, OR 97303-7805 United States Phone: 541-554-1567 | Fax: | |||||||||||||||||||||
Primary Practice Address | 5125 SKYLINE RD S SALEM, OR 97306-9427 United States Phone: 503-588-5993 | Fax: | |||||||||||||||||||||
Secondary Practice Address(es) | 11211 SE 82ND AVE | |||||||||||||||||||||
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