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NPI Code Detail

MEDICARE: SARA ELIZABETH DAVEY MSW, LCSW

MEDICARE: SARA ELIZABETH DAVEY MSW, LCSW
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1396065280
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ELIZABETH DAVEY MSW, LCSW
Provider Business Mailing Address
First Line : 2 ELDOR DR
Second Line :
City : SOUTH WALPOLE
State : MA
Zip : 02071-1011
Country : US
Telephone Number : 201-280-2321
Fax Number :
Provider Business Practice Location Address
First Line : 101 VANDERBILT AVE
Second Line :
City : NORWOOD
State : MA
Zip : 02062-5011
Country : US
Telephone Number : 781-551-0405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2010
Last Update Date : 08/12/2024

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