Provider Information for 1558922237
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SAIRAH NASREEN ANSARI MSW, LCSW
Sex: Female
NPI: 1558922237
Last Updated: 2019-06-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1558922237 | ||||||||||||||
| Enumeration Date | 2019-06-24 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 15 BEAR TRACK RD BLACK MOUNTAIN, NC 28711-8680 United States Phone: 828-775-1282 | Fax: | ||||||||||||||
| Primary Practice Address | 15 BEAR TRACK RD BLACK MOUNTAIN, NC 28711-8680 United States Phone: 828-775-1282 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | 119 TUNNEL RD | ||||||||||||||
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