Provider Information for 1861061012
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SARAH BENT LCSW
Sex: Female
NPI: 1861061012
Last Updated: 2024-02-06
Certification Date: 2024-02-05
Certification Date: 2024-02-05
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1861061012 | ||||||||
| Enumeration Date | 2021-06-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1518 VALDARNO DR GREENWOOD, IN 46143-0018 United States Phone: 317-979-5479 | Fax: | ||||||||
| Primary Practice Address | 1518 VALDARNO DR GREENWOOD, IN 46143-0018 United States Phone: 317-979-5479 | Fax: | ||||||||
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