Provider Information for 1932536026
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MICHELLE LOUISE SEPE LCSW, PPSC
Sex: Female
NPI: 1932536026
Last Updated: 2020-07-09
Certification Date: 2020-07-09
Certification Date: 2020-07-09
Details
Name | Value | ||||||||
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NPI | 1932536026 | ||||||||
Enumeration Date | 2013-10-03 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1860 HOWE AVE STE 440 SACRAMENTO, CA 95825-1098 United States Phone: 916-569-8484 | Fax: | ||||||||
Primary Practice Address | 3234 MARYSVILLE BLVD SACRAMENTO, CA 95815-1411 United States Phone: 855-354-2242 | Fax: | ||||||||
Secondary Practice Address(es) | 450 STANYAN ST | ||||||||
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