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General NPI Number Information
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NPI Number | 1346607165
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Entity Type | Organization
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Legal Business Name | SARAH MCCAFFERTY, LCSW
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 13706 RESEARCH BLVD
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City | AUSTIN
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State | TX
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Zip | 78750-1882
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Country | US
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Telephone | 512-815-3958
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Fax |
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Provider Business Mailing Address
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Address Line | 4708 SANTA ANNA ST
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City | AUSTIN
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State | TX
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Zip | 78721-2030
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Country | US
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Telephone | 512-299-4406
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | SARAH M MCCAFFERTY
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Credential | LCSW
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Telephone | 512-815-3958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 51083
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License Number State | TX
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