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General NPI Number Information
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NPI Number | 1609472588
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Entity Type | Individual
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Provider Name | SARA DAVIDSON GEOGHEGAN APSW
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Gender | Female
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 05/11/2025
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Provider Practice Location Address
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Address Line | 100 W ROCKLAND RD STE K-1
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City | MONTCHANIN
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State | DE
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Zip | 19710-2006
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Country | US
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Telephone | 302-365-0325
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Fax |
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Provider Business Mailing Address
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Address Line | 77 GUYENCOURT RD
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City | WILMINGTON
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State | DE
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Zip | 19807-1415
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Country | US
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Telephone | 302-300-6615
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0009923100
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 19513875
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0012536
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License Number State | DE
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