Provider Information for 1417318239
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SARAH HEWITT ACMHC
Sex: Female
NPI: 1417318239
Last Updated: 2021-06-30
Certification Date: 2021-06-30
Certification Date: 2021-06-30
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1417318239 | ||||||||||||
| Enumeration Date | 2016-03-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3387 S KATHERINE DR MAGNA, UT 84044-1756 United States Phone: 385-743-0602 | Fax: | ||||||||||||
| Primary Practice Address | 3387 S KATHERINE DR MAGNA, UT 84044-1756 United States Phone: 801-502-1627 | Fax: | ||||||||||||
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