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NPI Code Detail

MEDICARE: SARAH CHRISTINE DAVISON MSW

MEDICARE: SARAH CHRISTINE DAVISON MSW
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
1390200000XStudent in an Organized Health Care Education/Training ProgramSC60594887WA
21041C0700XClinical Social WorkerLW60888245WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235552308
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH CHRISTINE DAVISON MSW
Provider Business Mailing Address
First Line : 107 S DIVISION ST
Second Line :
City : SPOKANE
State : WA
Zip : 99202-1510
Country : US
Telephone Number : 509-838-4651
Fax Number :
Provider Business Practice Location Address
First Line : 124 E SHORT AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99202-1555
Country : US
Telephone Number : 509-838-4651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2014
Last Update Date : 11/19/2019

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