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NPI Code Detail

MEDICARE: SARAH BOGDAN APSW

MEDICARE:   SARAH  BOGDAN  APSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker132599-121WI
21041C0700XClinical Social Worker132599-121WI
31041C0700XClinical Social Worker12167-123WI

General Provider Information

NPI Number : 1063281806
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH BOGDAN APSW
Provider Business Mailing Address
First Line : 2620 STEIN BLVD
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-2672
Country : US
Telephone Number : 715-836-0064
Fax Number : 715-836-0065
Provider Business Practice Location Address
First Line : 2620 STEIN BLVD
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-2672
Country : US
Telephone Number : 715-836-0064
Fax Number : 715-836-0065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2023
Last Update Date : 02/11/2025

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Directions to “ SARAH BOGDAN APSW” Practice Location

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