Healthcare Provider Details
I. General information
NPI: 1568252963
Provider Name (Legal Business Name): SARA WURGLER MA-MFT
Entity Type: Individual
Gender:
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2109 S NORTON AVE
SIOUX FALLS SD
57105-3730
US
IV. Provider business mailing address
PO BOX 131
LESTER IA
51242-0131
US
V. Phone/Fax
- Phone: 605-334-2696
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: